Park, Michael
Park, Michael is an individual health care provider with primary practice located at 30 Memorial Dr Suite 3950, Pinehurst NC 28374-8707. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Park, Michael can be contacted via phone (910) 295-4400.Contact Information
Primary practice address
30 Memorial Dr Suite 3950
Pinehurst NC 28374-8707
Phone: (910) 295-4400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 103478 | North Carolina |
Profile Details
| NPI number | 1790724904 |
|---|---|
| LBN Legal business name | Park, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | May 24th, 2021 - about 3 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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