Park, William Isaiah

Park, William Isaiah is an individual health care provider with primary practice located at 6144 Airport Blvd , Mobile AL 36608-3143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Park, William Isaiah can be contacted via phone (251) 476-5050.

Contact Information

Primary practice address
6144 Airport Blvd Mobile AL 36608-3143
Phone: (251) 476-5050
Fax: (251) 450-2770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 00007045 Alabama

Profile Details

NPI number 1194782334
LBN Legal business name Park, William Isaiah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jan 20th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194782334 NPPES
Alabama MEDICAID 000079368
Alabama Other 200018979
Alabama Other 051079368
Alabama MEDICAID 00118992
Alabama Other 200028684

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