Park, Brian B
Park, Brian B is an individual health care provider with primary practice located at 4200 Edmondson Ave Suite 101, Baltimore MD 21229-1612. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Park, Brian B can be contacted via phone (410) 947-0300.Contact Information
Primary practice address
4200 Edmondson Ave Suite 101
Baltimore MD 21229-1612
Phone: (410) 947-0300
Fax: (410) 947-0328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | S01759 | Maryland |
Profile Details
| NPI number | 1891778064 |
|---|---|
| LBN Legal business name | Park, Brian B |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jul 1st, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891778064 | NPPES |
| Maryland | Other | 685841 | CAREFIRST |
| Maryland | Other | 794476 | CAREFIRST |
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