Park, Jin Hong

Park, Jin Hong is an individual health care provider with primary practice located at 8640 Sudley Rd Ste 201 , Manassas VA 20110-4404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Park, Jin Hong can be contacted via phone (703) 368-6819.

Contact Information

Primary practice address
8640 Sudley Rd Ste 201 Manassas VA 20110-4404
Phone: (703) 368-6819
Fax: (703) 330-2923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101234726 Virginia

Profile Details

NPI number 1225033038
LBN Legal business name Park, Jin Hong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Feb 21st, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225033038 NPPES
Virginia Other 465738 ANTHEM/MANASSAS
Virginia MEDICAID 010000386 ANTHEM/MANASSAS
Virginia Other 7575255001 ANTHEM/MANASSAS
Virginia Other 3288302 ANTHEM/MANASSAS
Virginia Other 92130006 ANTHEM/MANASSAS
Virginia Other 2107852 ANTHEM/MANASSAS
Virginia Other 465743 ANTHEM/MANASSAS
Virginia Other 007909478 ANTHEM/MANASSAS

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