Park, Charlie
Park, Charlie is an individual health care provider with primary practice located at 401 Commerce Dr Suite 108, Ft Washington PA 19034-2714. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Park, Charlie can be contacted via phone (267) 460-4254.Contact Information
Primary practice address
401 Commerce Dr Suite 108
Ft Washington PA 19034-2714
Phone: (267) 460-4254
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Dentist | 122300000X | DS038502 | Pennsylvania |
Profile Details
| NPI number | 1598932212 |
|---|---|
| LBN Legal business name | Park, Charlie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2008 |
| Last updated | Mar 5th, 2012 - about 13 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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