Park, Eun Joo

Park, Eun Joo is an sole proprietor health care provider with primary practice located at 615 N Michigan St 1St Fl Hospitalist Ste , South Bend IN 46601-1033. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Park, Eun Joo can be contacted via phone (574) 647-3050.

Contact Information

Primary practice address
615 N Michigan St 1St Fl Hospitalist Ste South Bend IN 46601-1033
Phone: (574) 647-3050
Fax: (574) 647-1094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 01080678A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01080678A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01080678A Indiana

Profile Details

NPI number 1447563366
LBN Legal business name Park, Eun Joo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2010
Last updated May 1st, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447563366 NPPES
Indiana MEDICAID 300017649

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