Park, John I

Park, John I is an sole proprietor health care provider with primary practice located at 109 Crossroads Rd Suite 6, Scottdale PA 15683-2458. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Park, John I can be contacted via phone (724) 887-7421.

Contact Information

Primary practice address
109 Crossroads Rd Suite 6 Scottdale PA 15683-2458
Fax: (724) 887-4145
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X MD034829E Pennsylvania

Profile Details

NPI number 1518006725
LBN Legal business name Park, John I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518006725 NPPES
Other 197526 HIGHMARK
MEDICAID 0011173760007 HIGHMARK

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