Park, Jae Kwan
Park, Jae Kwan is an sole proprietor health care provider with primary practice located at 5715 256Th St , Little Neck NY 11362-2140. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Park, Jae Kwan can be contacted via phone (917) 545-3143.Contact Information
Primary practice address
5715 256Th St
Little Neck NY 11362-2140
Phone: (917) 545-3143
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 005860 | New York |
Profile Details
| NPI number | 1578229324 |
|---|---|
| LBN Legal business name | Park, Jae Kwan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2021 |
| Last updated | Nov 15th, 2021 - about 3 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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