Park, Elisse
Park, Elisse is an individual health care provider with primary practice located at 2371 Black Rock Turnpike , Fairfield CT 06825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Park, Elisse can be contacted via phone (203) 371-0141.Contact Information
Primary practice address
2371 Black Rock Turnpike
Fairfield CT 06825
Phone: (203) 371-0141
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 70012 | Connecticut |
Profile Details
| NPI number | 1366947061 |
|---|---|
| LBN Legal business name | Park, Elisse |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2018 |
| Last updated | Sep 12th, 2022 - about 3 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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