Park, Jin
Park, Jin is an individual health care provider with primary practice located at 507 W Stan Schlueter Loop Ste 400 , Killeen TX 76542-6877. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Park, Jin can be contacted via phone (254) 870-9209.Contact Information
Primary practice address
507 W Stan Schlueter Loop Ste 400
Killeen TX 76542-6877
Phone: (254) 870-9209
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 39421 | Texas |
Profile Details
NPI number | 1801246715 |
---|---|
LBN Legal business name | Park, Jin |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2016 |
Last updated | Jul 13th, 2023 - about last year |
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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