Park, Sung S
Park, Sung S is an sole proprietor health care provider with primary practice located at 811 W 2Nd St , Bloomington IN 47403-2251. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Park, Sung S can be contacted via phone (812) 333-4001.Contact Information
Primary practice address
811 W 2Nd St
Bloomington IN 47403-2251
Phone: (812) 333-4001
Fax: (812) 333-4053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71000610 | Indiana |
Profile Details
| NPI number | 1548442866 |
|---|---|
| LBN Legal business name | Park, Sung S |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2007 |
| Last updated | Feb 8th, 2011 - about 15 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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