Park, Hyung Dong
Park, Hyung Dong is an individual health care provider with primary practice located at 500 Jefferson St , Whiteville NC 28472. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Park, Hyung Dong can be contacted via phone (910) 642-1776.Contact Information
Primary practice address
500 Jefferson St
Whiteville NC 28472
Phone: (910) 642-1776
Fax: (910) 642-9305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00047265 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2009-01534 | North Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD27189 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 285118 | New York |
Profile Details
| NPI number | 1659418382 |
|---|---|
| LBN Legal business name | Park, Hyung Dong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Aug 21st, 2018 - about 6 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 | 1659418382 | NPPES |
| North Carolina | MEDICAID | 1659418382 |
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