Park, Sue Jin

Park, Sue Jin is an individual health care provider with primary practice located at 250 N See Vee Ln , Bishop CA 93514-8130. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Park, Sue Jin can be contacted via phone (760) 873-8464.

Contact Information

Primary practice address
250 N See Vee Ln Bishop CA 93514-8130
Fax: (760) 873-7601
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 840776 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95005086 California

Profile Details

NPI number 1952813826
LBN Legal business name Park, Sue Jin
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2017
Last updated Oct 31st, 2017 - about 4 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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