Park, Chan Hoon
Park, Chan Hoon is an sole proprietor health care provider with primary practice located at 905 Victory Hwy , Slatersville RI 02876. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Park, Chan Hoon can be contacted via phone (401) 762-2728.Contact Information
Primary practice address
905 Victory Hwy
Slatersville RI 02876
Phone: (401) 762-2728
Fax: (401) 762-0473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD 5083 | Rhode Island |
Profile Details
| NPI number | 1700092103 |
|---|---|
| LBN Legal business name | Park, Chan Hoon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2007 |
| Last updated | Feb 26th, 2008 - about 18 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 | 1700092103 | NPPES |
| Rhode Island | Other | 001727 | BLUE CHIP |
| Rhode Island | Other | 1260-1 | BLUE CHIP |
| Rhode Island | Other | 0100118 | BLUE CHIP |
| Rhode Island | MEDICAID | 9001260 | BLUE CHIP |
Popular Providers
-
Braham, Jeffery T
800 Grand Central Mall Suite 4, Vienna WV 26105-4131 -
Cancino, Gwenneth O
115 W Bel Air Avenue , Aberdeen MD 21001-3221 -
Miranda, Roberto
1508 Dessau Ridge Ln Apt 602 Ste B, Austin TX 78754-2121 -
Fluharty, Kelly C
800 Grand Central Mall Suite 4, Vienna WV 26105-4131 -
Holets, John Alan
447 W Main St , Monongahela PA 15063-2564 -
Smith, Benjamin S
107 Old Hwy 60 , Hardinsburg KY 40143-2575 -
Minnehan, Haley J
701 Lewiston St , Cottonwood ID 83522-9750 -
D'Ambrosio, Umberto
1212 S Main St , Salinas CA 93901-2260