Kucway, Eun Jung Park
Kucway, Eun Jung Park is an individual health care provider with primary practice located at 4235 Secor Road , Toledo OH 43623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Kucway, Eun Jung Park can be contacted via phone (419) 479-5318.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 4301074696 | Michigan |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 35090666 | Ohio |
Profile Details
| NPI number | 1871528356 |
|---|---|
| LBN Legal business name | Kucway, Eun Jung Park |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | May 31st, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871528356 | NPPES |
| Ohio | MEDICAID | 2804086 |
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