Park, Jeffrey D

Park, Jeffrey D is an individual health care provider with primary practice located at 2601 Holme Ave , Phila PA 19152-2007. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Park, Jeffrey D can be contacted via phone (215) 335-6200.

Contact Information

Primary practice address
2601 Holme Ave Phila PA 19152-2007
Phone: (215) 335-6200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN521643L Pennsylvania

Profile Details

NPI number 1316941164
LBN Legal business name Park, Jeffrey D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Nov 24th, 2014 - about 10 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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