Park, Sue Y
Park, Sue Y is an individual health care provider with primary practice located at 1500 N Beauregard St Suite 200, Alexandria VA 22311-1723. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Park, Sue Y can be contacted via phone (703) 212-6600.Contact Information
Primary practice address
1500 N Beauregard St Suite 200
Alexandria VA 22311-1723
Phone: (703) 212-6600
Fax: (703) 931-0961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101056410 | Virginia |
Profile Details
| NPI number | 1902865199 |
|---|---|
| LBN Legal business name | Park, Sue Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Feb 9th, 2011 - about 13 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 | 1902865199 | NPPES |
| Virginia | MEDICAID | 6719694 |
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