Park, Young Ja
Park, Young Ja is an individual health care provider with primary practice located at 18Th Medcom Atts: Dccs-Qm (Credentials), Apo AP 96205-0054. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Park, Young Ja can be contacted via phone (011) 822-7916.Contact Information
Primary practice address
18Th Medcom Atts: Dccs-Qm (Credentials)
Apo AP 96205-0054
Phone: (011) 822-7916
Fax: 01182279178110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | 133910-1 | New York |
Profile Details
| NPI number | 1720077217 |
|---|---|
| LBN Legal business name | Park, Young Ja |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Jul 21st, 2022 - about 3 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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