Park, Joon Sung

Park, Joon Sung is an individual health care provider with primary practice located at 521 E Michigan Ave Suite 201, Kalamazoo MI 49007-3889. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Park, Joon Sung can be contacted via phone (269) 226-2656.

Contact Information

Primary practice address
521 E Michigan Ave Suite 201 Kalamazoo MI 49007-3889
Phone: (269) 226-2656
Fax: (269) 349-7450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4301074665 Michigan

Profile Details

NPI number 1699894709
LBN Legal business name Park, Joon Sung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Nov 9th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699894709 NPPES
Michigan Other 1106318621 BCBS INDIVIDUAL
Michigan Other 0C97618 BCBS INDIVIDUAL

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