Park, Edward H
Park, Edward H is an sole proprietor health care provider with primary practice located at 10080 N Wolfe Rd Sw3-100, Cupertino CA 95014-2515. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Park, Edward H can be contacted via phone (408) 342-6600.Contact Information
Primary practice address
10080 N Wolfe Rd Sw3-100
Cupertino CA 95014-2515
Phone: (408) 342-6600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT29049 | California |
Profile Details
| NPI number | 1982678447 |
|---|---|
| LBN Legal business name | Park, Edward H |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1982678447 | NPPES |
| California | Other | PT29049 | PHYSICAL THERAPIST LICENC |
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