Park, Andrew

Park, Andrew is an individual health care provider with primary practice located at 1925 Mountain View Ave , Longmont CO 80501-3128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Park, Andrew can be contacted via phone (720) 494-3132.

Contact Information

Primary practice address
1925 Mountain View Ave Longmont CO 80501-3128
Phone: (720) 494-3132
Fax: (720) 494-3107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X DR.0058866 Colorado
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X PENDING Missouri

Profile Details

NPI number 1912218165
LBN Legal business name Park, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2010
Last updated Jan 6th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912218165 NPPES
Colorado MEDICAID 9000150127

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