Park, Hyo-Jong

Park, Hyo-Jong is an individual health care provider with primary practice located at 2460 W Horizon Ridge Pkwy , Henderson NV 89052-2648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Park, Hyo-Jong can be contacted via phone (702) 822-2000.

Contact Information

Primary practice address
2460 W Horizon Ridge Pkwy Henderson NV 89052-2648
Phone: (702) 822-2000
Fax: (702) 938-2237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 5705 Nevada

Profile Details

NPI number 1295732808
LBN Legal business name Park, Hyo-Jong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
Last updated Mar 5th, 2013 - about 11 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 1295732808 NPPES
Nevada MEDICAID 002002611
Nevada Other 080107302
Nevada Other 900001899
Nevada MEDICAID 179839

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