Park, Michael K

Park, Michael K is an individual health care provider with primary practice located at 3445 Woody Crk , Evergreen CO 80439-7996. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Park, Michael K can be contacted via phone (303) 999-7507.

Contact Information

Primary practice address
3445 Woody Crk Evergreen CO 80439-7996
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39042 Colorado

Profile Details

NPI number 1942229505
LBN Legal business name Park, Michael K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Dec 19th, 2013 - about 11 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 1942229505 NPPES
Colorado Other P0007812 MEDICARE RAILROAD PGBA
Colorado MEDICAID 64971244 MEDICARE RAILROAD PGBA

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