Park, Haejoe

Park, Haejoe is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Park, Haejoe can be contacted via phone (800) 243-1455.

Contact Information

Primary practice address
500 University Dr Hershey PA 17033-2360
Fax: (717) 531-0793
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD453182 Pennsylvania

Profile Details

NPI number 1124237144
LBN Legal business name Park, Haejoe
Credentials MD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Aug 6th, 2020 - about 4 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 1124237144 NPPES
Pennsylvania MEDICAID 1029773840001

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