Park, Sue Jin

Park, Sue Jin is an individual health care provider with primary practice located at 1360 N Main St Ste 124 , Bishop CA 93514-3013. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / General Practice. Nursing Service Providers / General Practice is her primary health care specialty. Park, Sue Jin can be contacted via phone (760) 873-6533.

Contact Information

Primary practice address
1360 N Main St Ste 124 Bishop CA 93514-3013
Phone: (760) 873-6533
Fax: (760) 873-3277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95005086 California
Nursing Service Providers / General Practice 163WG0000X 840776 California

Profile Details

NPI number 1952813826
LBN Legal business name Park, Sue Jin
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2017
Last updated Jan 27th, 2022 - about 2 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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