Park, Jong T
Park, Jong T is an individual health care provider with primary practice located at 2906 Crossing Ct , Champaign IL 61822-6163. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Park, Jong T can be contacted via phone (217) 356-6543.Contact Information
Primary practice address
2906 Crossing Ct
Champaign IL 61822-6163
Phone: (217) 356-6543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Illinois |
Profile Details
| NPI number | 1811038672 |
|---|---|
| LBN Legal business name | Park, Jong T |
| Credentials | PT, MPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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