Park, Moon Soo

Park, Moon Soo is an sole proprietor health care provider with primary practice located at 33 Lanihuli St , Hilo HI 96720-4142. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Park, Moon Soo can be contacted via phone (808) 935-4814.

Contact Information

Primary practice address
33 Lanihuli St Hilo HI 96720-4142
Fax: (808) 935-2518
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2093 Hawaii

Profile Details

NPI number 1104084912
LBN Legal business name Park, Moon Soo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2008
Last updated May 29th, 2008 - about 16 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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