Park, Andrew Joon

Park, Andrew Joon is an individual health care provider with primary practice located at 3425 S Clarkson St , Englewood CO 80113-2811. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine. Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine is his primary health care specialty. Park, Andrew Joon can be contacted via phone (303) 789-8220.

Contact Information

Primary practice address
3425 S Clarkson St Englewood CO 80113-2811
Phone: (303) 789-8220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X DR.0059534 Colorado
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X TL.0006653 Colorado
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X DR.0059534 Colorado

Profile Details

NPI number 1043661770
LBN Legal business name Park, Andrew Joon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2016
Last updated Jul 21st, 2022 - about 3 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 1043661770 NPPES
Colorado MEDICAID 1043661770

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