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

Primary practice address
4235 Secor Road Toledo OH 43623
Phone: (419) 479-5318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871528356 NPPES
Ohio MEDICAID 2804086

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