Park, Sonny Yong
Park, Sonny Yong is an individual health care provider with primary practice located at 1988 Kings Gate Ln , Mount Pleasant SC 29466-8191. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Park, Sonny Yong can be contacted via phone (864) 640-0395.Contact Information
Primary practice address
1988 Kings Gate Ln
Mount Pleasant SC 29466-8191
Phone: (864) 640-0395
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25559 | South Carolina |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01078315A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01078315A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA10015400 | New Jersey |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD22311 | Maine |
Profile Details
| NPI number | 1720071277 |
|---|---|
| LBN Legal business name | Park, Sonny Yong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jun 24th, 2024 - about 6 months 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 | 1720071277 | NPPES |
| Arizona | Other | 33329 | STATE MEDICAL LICENSE |
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