Park, Hye-Ran
Park, Hye-Ran is an individual health care provider with primary practice located at 100 W Sproul Rd Ste 224 , Springfield PA 19064-2033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Park, Hye-Ran can be contacted via phone (610) 789-6320.Contact Information
Primary practice address
100 W Sproul Rd Ste 224
Springfield PA 19064-2033
Phone: (610) 789-6320
Fax: (484) 471-3917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD423010 | Pennsylvania |
Profile Details
| NPI number | 1548212004 |
|---|---|
| LBN Legal business name | Park, Hye-Ran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jun 3rd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548212004 | NPPES |
| Pennsylvania | MEDICAID | 1015894400001 | |
| Pennsylvania | Other | 6775688 | |
| Pennsylvania | Other | 7060821 | |
| Pennsylvania | Other | 02191 | |
| Pennsylvania | Other | 2710482000 | |
| Pennsylvania | Other | 1853548 | |
| Pennsylvania | Other | 30035239 | |
| Pennsylvania | Other | P00367106 |
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