Park, Sohee Kim
Park, Sohee Kim is an sole proprietor health care provider with primary practice located at 456 Clemson Rd , Columbia SC 29229-7925. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Park, Sohee Kim can be contacted via phone (803) 788-9715.Contact Information
Primary practice address
456 Clemson Rd
Columbia SC 29229-7925
Phone: (803) 788-9715
Fax: (803) 788-9705
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 3592 | South Carolina |
Profile Details
NPI number | 1700800497 |
---|---|
LBN Legal business name | Park, Sohee Kim |
Credentials | DMD, MHS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 26th, 2006 |
Last updated | Mar 27th, 2019 - about 5 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 | 1700800497 | NPPES |
South Carolina | MEDICAID | ZX3592 |
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