Park, Michelle

Park, Michelle is an individual health care provider with primary practice located at 11124 Midlothian Tpke , North Chesterfield VA 23235-4712. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Park, Michelle can be contacted via phone (804) 893-5079.

Contact Information

Primary practice address
11124 Midlothian Tpke North Chesterfield VA 23235-4712
Phone: (804) 893-5079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 0401418988 Virginia

Profile Details

NPI number 1831956861
LBN Legal business name Park, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2024
Last updated Jun 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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