Park, Gregory
Park, Gregory is an individual health care provider with primary practice located at 30 N Church St , Wailuku HI 96793-1600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Park, Gregory can be contacted via phone (808) 244-7627.Contact Information
Primary practice address
30 N Church St
Wailuku HI 96793-1600
Phone: (808) 244-7627
Fax: (808) 242-6696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD3915 | Hawaii |
Profile Details
| NPI number | 1861497596 |
|---|---|
| LBN Legal business name | Park, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| 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 | 1861497596 | NPPES |
| Hawaii | MEDICAID | 04550602 |
Popular Providers
-
Kohn, Joseph
493 Pio Dr Apt 209 , Wailuku HI 96793-2641 -
Alaimalo, Jed I P
55 Mauilani Pkwy , Wailuku HI 96793-2416 -
Grandon, Paul W.
55 Maui Lani Pkwy , Wailuku HI 96793-2416 -
Sodetani, Lisa K
55 Maui Lani Pkwy , Wailuku HI 96793-2416 -
O'Donovan, Alan
221 Mahalani St , Wailuku HI 96793-2526 -
Savona, Michael Richard
1830 Wells St Suite 102, Wailuku HI 96793-2365 -
Termulo, Maria Charito G.
1063 Lower Main St Ste C106 , Wailuku HI 96793-6035 -
Hoskinson, Scott D
80 Mahalani St , Wailuku HI 96793-2531