Active NPIIndividual provider

Dr. Samue C Park, DC

Chiropractor in Fort Lee, New Jersey

NPI Number1801965918
Practice location
810 Abbott Blvd Ste 304, Fort Lee, NJ 07024-4117
Fax
201-886-8069
Last updated
July 9, 2007

Samue C. Park is a Chiropractor based in Fort Lee, NJ. Samue C. Park practices in Fort Lee, NJ and has the professional credentials of DC. The NPI Number for Samue C. Park is 1801965918 and holds a License No. MC05716 (NJ). The current practice location address for Samue C. Park is 810 Abbott Blvd Ste 304, Fort Lee, NJ 07024-4117 and can be reached out via phone at 201-886-7080 and via fax at 201-886-8069.

Provider Profile Details

NPI Number
1801965918
Provider Name
Samue C. Park
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
810 Abbott Blvd Ste 304, Fort Lee, NJ 07024-4117
Phone Number
201-886-7080
Fax Number
201-886-8069
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
No
Provider Enumeration Date
November 6, 2006
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
810 Abbott Blvd Ste 304
Fort Lee, NJ 07024-4117
Zip
07024-4117
Phone Number
201-886-7080
Fax Number
201-886-8069
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
810 Abbott Blvd Ste 304
Fort Lee, NJ 07024-4117
City
Fort Lee
State
NJ
Zip
07024-4117
Phone Number
201-886-7080
Fax Number
201-886-8069

License Information

License Number (1)
MC05716
License State (1)
NJ
Taxonomy (1)
Chiropractor · 111N00000X · Primary
License Number (2)
X009870
License State (2)
NY
Taxonomy (2)
Chiropractor · 111N00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Samue C Park, DC?

The NPI number of Dr. Samue C Park, DC is 1801965918. It was assigned on November 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Samue C Park, DC?

Dr. Samue C Park, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number MC05716.

Where does Dr. Samue C Park, DC practice?

The practice location is 810 Abbott Blvd Ste 304, Fort Lee, NJ 07024-4117. The office can be reached at 201-886-7080 (phone) or 201-886-8069 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801965918 directly on the NPPES registry website.

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