Park, Nancy H

Park, Nancy H is an sole proprietor health care provider with primary practice located at 993 Brodhead Rd , Moon Township PA 15108-2331. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Park, Nancy H can be contacted via phone (412) 264-1918.

Contact Information

Primary practice address
993 Brodhead Rd Moon Township PA 15108-2331
Fax: (412) 262-9114
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD031618E Pennsylvania

Profile Details

NPI number 1013933837
LBN Legal business name Park, Nancy H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Feb 8th, 2010 - about 14 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 1013933837 NPPES
Pennsylvania MEDICAID 0010612800002

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