Park, John Y

Park, John Y is an individual health care provider with primary practice located at 226 S Woods Mill Rd Ste 37W, Chesterfield MO 63017-3662. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngic Allergy is his primary health care specialty. Park, John Y can be contacted via phone (314) 523-5300.

Contact Information

Primary practice address
226 S Woods Mill Rd Ste 37W Chesterfield MO 63017-3662
Phone: (314) 523-5300
Fax: (314) 434-3191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 108562 Missouri
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 108562 Missouri

Profile Details

NPI number 1316936115
LBN Legal business name Park, John Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jun 16th, 2017 - about 8 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 1316936115 NPPES
Missouri Other P00186664 RAILROAD MEDICARE

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