Park, Hyunsoon Edie
Park, Hyunsoon Edie is an individual health care provider with primary practice located at 1100 N College Ave Veterans Health Care System Of The Ozarks, Fayetteville AR 72703-1944. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Park, Hyunsoon Edie can be contacted via phone (479) 443-4301.Contact Information
Primary practice address
1100 N College Ave Veterans Health Care System Of The Ozarks
Fayetteville AR 72703-1944
Phone: (479) 443-4301
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 200200581 | North Carolina |
Profile Details
NPI number | 1467418764 |
---|---|
LBN Legal business name | Park, Hyunsoon Edie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2006 |
Last updated | Sep 23rd, 2009 - about 15 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 | 1467418764 | NPPES |
North Carolina | MEDICAID | 5900452 |
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