Park, Amy
Park, Amy is an individual health care provider with primary practice located at 9500 Euclid Ave # Deska81 , Cleveland OH 44195-2927. She recently has only one registered license in Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, which is considered as her primary health care specialty. Park, Amy can be contacted via phone (216) 444-6277.Contact Information
Primary practice address
9500 Euclid Ave # Deska81
Cleveland OH 44195-2927
Phone: (216) 444-6277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 35.088057 | Ohio |
Profile Details
| NPI number | 1053328625 |
|---|---|
| LBN Legal business name | Park, Amy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Aug 31st, 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 | 1053328625 | NPPES |
| Ohio | MEDICAID | 2673156 |
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