Park, Jeongpil
Park, Jeongpil is an individual health care provider with primary practice located at 101 E Matthews St Suite 700, Matthews NC 28105-4866. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Park, Jeongpil can be contacted via phone (704) 841-1701.Contact Information
Primary practice address
101 E Matthews St Suite 700
Matthews NC 28105-4866
Phone: (704) 841-1701
Fax: (704) 841-1596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3352 | North Carolina |
Profile Details
| NPI number | 1780656546 |
|---|---|
| LBN Legal business name | Park, Jeongpil |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1780656546 | NPPES |
| North Carolina | MEDICAID | 5902382 |
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