Park, So Hyang

Park, So Hyang is an individual health care provider with primary practice located at 460 N Reading Rd , Ephrata PA 17522-9606. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Park, So Hyang can be contacted via phone (717) 738-4070.

Contact Information

Primary practice address
460 N Reading Rd Ephrata PA 17522-9606
Fax: (717) 738-3558
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD062484L Pennsylvania

Profile Details

NPI number 1205974706
LBN Legal business name Park, So Hyang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Mar 4th, 2020 - about 4 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 1205974706 NPPES
Pennsylvania MEDICAID 01919427

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