Pak, Kirk Jihyon
Pak, Kirk Jihyon is an individual health care provider with primary practice located at 1104 E Grace St , Rensselaer IN 47978. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Pak, Kirk Jihyon can be contacted via phone (219) 866-5141.Contact Information
Primary practice address
1104 E Grace St
Rensselaer IN 47978
Phone: (219) 866-5141
Fax: (219) 866-3234
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01076965A | Indiana |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.207561 | Louisiana |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01076965A | Indiana |
Profile Details
NPI number | 1477812956 |
---|---|
LBN Legal business name | Pak, Kirk Jihyon |
Credentials | M.D., PH.D., M.SC. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2012 |
Last updated | Aug 15th, 2023 - about last year |
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 | 1477812956 | NPPES |
Indiana | MEDICAID | 300006000 | |
Indiana | Other | 000001195932 | |
Indiana | MEDICAID | 2196472 | |
Indiana | MEDICAID | 05809560 |
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