Park, Michelle M
Park, Michelle M is an individual health care provider with primary practice located at 3410 N 4Th Ave , Phoenix AZ 85013-3905. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Park, Michelle M can be contacted via phone (602) 241-1944.Contact Information
Primary practice address
3410 N 4Th Ave
Phoenix AZ 85013-3905
Phone: (602) 241-1944
Fax: (602) 241-1917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29441 | Arizona |
Profile Details
| NPI number | 1376533943 |
|---|---|
| LBN Legal business name | Park, Michelle M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Aug 1st, 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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