Park, Joseph
Park, Joseph is an sole proprietor health care provider with primary practice located at 3805 Main St Ste 112 , The Colony TX 75056-2853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Park, Joseph can be contacted via phone (972) 370-0004.Contact Information
Primary practice address
3805 Main St Ste 112
The Colony TX 75056-2853
Phone: (972) 370-0004
Fax: (972) 370-0088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L6563 | Texas |
Profile Details
| NPI number | 1891848412 |
|---|---|
| LBN Legal business name | Park, Joseph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Oct 31st, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891848412 | NPPES |
| Texas | MEDICAID | 167574603 | |
| Texas | MEDICAID | 167574602 |
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