Jung Min Park, LIC AC is a
Specialist/technologist, Other - Electroneurodiagnostic based in Denver, Colorado. Jung Min Park is licensed to practice in Colorado (license number 2933) and her current practice location is
2685 S Dayton Way, #306, Denver, Colorado. She can be reached at her office (for appointments etc.) via phone at
(720) 244-8512.
NPI number for Jung Min Park is 1124291018 and her current mailing address is 2685 S Dayton Way, #306, Denver, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124291018.
Healthcare Provider's Profile
Full Name | Jung Min Park |
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Gender | Female |
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Speciality | Specialist/technologist, Other - Electroneurodiagnostic |
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Location | 2685 S Dayton Way, Denver, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124291018
- Provider Enumeration Date: 04/11/2008
- Last Update Date: 01/31/2017
Medical Identifiers
Medical identifiers for Jung Min Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124291018 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 1743 (Colorado) | Secondary |
246ZE0600X | Specialist/technologist, Other - Electroneurodiagnostic | 2933 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jung Min Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jung Min Park, LIC AC 2685 S Dayton Way, #306, Denver, CO 80231-3958 Ph: (720) 244-8512 | Jung Min Park, LIC AC 2685 S Dayton Way, #306, Denver, CO 80231-3958 Ph: (720) 244-8512 |
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