Park, John S
Park, John S is an individual health care provider with primary practice located at 231 Seasons Rd Suite 200, Hudson OH 44224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Park, John S can be contacted via phone (330) 926-3313.Contact Information
Primary practice address
231 Seasons Rd Suite 200
Hudson OH 44224
Phone: (330) 926-3313
Fax: (330) 945-7381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35060816P | Ohio |
Profile Details
| NPI number | 1588665103 |
|---|---|
| LBN Legal business name | Park, John S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2005 |
| Last updated | Aug 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588665103 | NPPES |
| Ohio | MEDICAID | 0833361 |
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