Park, Christy C.
Park, Christy C. is an individual health care provider with primary practice located at 1932 Alcoa Hwy Suite C-550, Knoxville TN 37920-1527. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Park, Christy C. can be contacted via phone (865) 546-6554.Contact Information
Primary practice address
1932 Alcoa Hwy Suite C-550
Knoxville TN 37920-1527
Phone: (865) 546-6554
Fax: (865) 522-4634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36-097633 | Illinois |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 36-097633 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42732 | Tennessee |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 42732 | Tennessee |
Profile Details
| NPI number | 1538281316 |
|---|---|
| LBN Legal business name | Park, Christy C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Aug 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538281316 | NPPES |
| Illinois | MEDICAID | 993310 |
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