Park, Thomas Chin
Park, Thomas Chin is an individual health care provider with primary practice located at 2725 Capitol Ave Suite 402, Sacramento CA 95816-6004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Park, Thomas Chin can be contacted via phone (916) 262-9400.Contact Information
Primary practice address
2725 Capitol Ave Suite 402
Sacramento CA 95816-6004
Phone: (916) 262-9400
Fax: (916) 262-9399
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G68104 | California |
Profile Details
NPI number | 1609976547 |
---|---|
LBN Legal business name | Park, Thomas Chin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 22nd, 2006 |
Last updated | May 18th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609976547 | NPPES |
California | MEDICAID | 00G681041 | |
California | Other | 770003054 |
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