Park, John R

Park, John R is an individual health care provider with primary practice located at 248 Mchenry St , Burlington WI 53105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Park, John R can be contacted via phone (262) 767-8260.

Contact Information

Primary practice address
248 Mchenry St Burlington WI 53105
Phone: (262) 767-8260
Fax: (262) 767-8212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 23675 Wisconsin

Profile Details

NPI number 1144337460
LBN Legal business name Park, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Aug 26th, 2015 - 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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