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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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