Park, Se Jong

Park, Se Jong is an sole proprietor health care provider with primary practice located at 51 Illsley St , Portland ME 04103-5110. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as her primary health care specialty. Park, Se Jong can be contacted via phone (207) 756-3621.

Contact Information

Primary practice address
51 Illsley St Portland ME 04103-5110
Phone: (207) 756-3621
Fax: (888) 329-6432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X Maine

Profile Details

NPI number 1962671545
LBN Legal business name Park, Se Jong
Credentials CST AS-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2008
Last updated Feb 27th, 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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