Park, Christopher A

Park, Christopher A is an sole proprietor health care provider with primary practice located at 3700 Dauphin St Ste A , Mobile AL 36608-1725. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Park, Christopher A can be contacted via phone (251) 340-6600.

Contact Information

Primary practice address
3700 Dauphin St Ste A Mobile AL 36608-1725
Phone: (251) 340-6600
Fax: (251) 479-7164
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 2007-00401 North Carolina
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 2007-00401 North Carolina
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 0101241162 Virginia
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 0101241162 Virginia
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 2007-00401 North Carolina
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 0101241162 Virginia
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 2007-00401 North Carolina

Profile Details

NPI number 1497885339
LBN Legal business name Park, Christopher A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Mar 15th, 2023 - about last year

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 1497885339 NPPES
West Virginia MEDICAID 3810009016
West Virginia Other 510I240012
West Virginia Other 202030
West Virginia Other 146F9
West Virginia Other 810641
West Virginia Other 9897073
West Virginia Other 510I240012
West Virginia Other 51595045
West Virginia MEDICAID 5906699
West Virginia MEDICAID Q0040L

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