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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942229505 | NPPES |
Colorado | Other | P0007812 | MEDICARE RAILROAD PGBA |
Colorado | MEDICAID | 64971244 | MEDICARE RAILROAD PGBA |
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