Park, Mie Hea

Park, Mie Hea is an individual health care provider with primary practice located at 475 Grand Ave 2Nd Floor, Englewood NJ 07631-4965. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Park, Mie Hea can be contacted via phone (201) 541-1111.

Contact Information

Primary practice address
475 Grand Ave 2Nd Floor Englewood NJ 07631-4965
Phone: (201) 541-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 26NJ00544400 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP019778 Pennsylvania

Profile Details

NPI number 1902294598
LBN Legal business name Park, Mie Hea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2015
Last updated Feb 8th, 2019 - about 7 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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