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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467418764 NPPES
North Carolina MEDICAID 5900452

Popular Providers