Park, Andrea
Park, Andrea is an individual health care provider with primary practice located at 982161 Nebraska Medical Ctr , Omaha NE 68198-2161. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Park, Andrea can be contacted via phone (402) 559-5380.Contact Information
Primary practice address
982161 Nebraska Medical Ctr
Omaha NE 68198-2161
Phone: (402) 559-5380
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 36064 | Nebraska |
Profile Details
NPI number | 1659834430 |
---|---|
LBN Legal business name | Park, Andrea |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 9th, 2019 |
Last updated | Dec 20th, 2023 - about 2 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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