Park, Ted
Park, Ted is an individual health care provider with primary practice located at 1221 W Lake St Ste 200 , Minneapolis MN 55408-3565. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Park, Ted can be contacted via phone (612) 824-1036.Contact Information
Primary practice address
1221 W Lake St Ste 200
Minneapolis MN 55408-3565
Phone: (612) 824-1036
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | 813828 | Minnesota |
Profile Details
| NPI number | 1215616818 |
|---|---|
| LBN Legal business name | Park, Ted |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2023 |
| Last updated | Jul 12th, 2023 - about last year |
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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