Shin, Mimie Pak
Shin, Mimie Pak is an sole proprietor health care provider with primary practice located at 21 Upper Ragsdale Dr Suite #125, Monterey CA 93940-7831. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Shin, Mimie Pak can be contacted via phone (831) 372-2963.Contact Information
Primary practice address
21 Upper Ragsdale Dr Suite #125
Monterey CA 93940-7831
Phone: (831) 372-2963
Fax: (831) 656-9179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT25275 | California |
Profile Details
| NPI number | 1083777627 |
|---|---|
| LBN Legal business name | Shin, Mimie Pak |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jul 11th, 2008 - about 17 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 | 1083777627 | NPPES |
| California | Other | P00362453 | MC RAILROAD PIN |
| California | Other | 0PT25270 | MC RAILROAD PIN |
| California | Other | PT25275 | MC RAILROAD PIN |
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