Park, Tae Soon

Park, Tae Soon is an sole proprietor health care provider with primary practice located at 2950 Northup Way Ste 115 , Bellevue WA 98004-1406. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Park, Tae Soon can be contacted via phone (425) 893-8100.

Contact Information

Primary practice address
2950 Northup Way Ste 115 Bellevue WA 98004-1406
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4895 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO 60234756 Washington

Profile Details

NPI number 1528226263
LBN Legal business name Park, Tae Soon
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2008
Last updated Mar 9th, 2015 - about 9 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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