Park, Jong
Park, Jong is an sole proprietor health care provider with primary practice located at 3555 W 13 Mile Rd Ste Ll-20 , Royal Oak MI 48073-6710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Park, Jong can be contacted via phone (248) 288-2280.Contact Information
Primary practice address
3555 W 13 Mile Rd Ste Ll-20
Royal Oak MI 48073-6710
Phone: (248) 288-2280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 4301503998 | Michigan |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4301503998 | Michigan |
Profile Details
| NPI number | 1386173870 |
|---|---|
| LBN Legal business name | Park, Jong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2017 |
| Last updated | Jan 26th, 2022 - about 2 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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