Sung H Park
Orthotic Fitter
5602 Oakham Pl
Centreville
, Virginia 20120-5214
Sung H Park
Orthotic Fitter
5602 Oakham Pl
Centreville
, Virginia 20120-5214
(844) 971-9711
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Sung H Park
- 5602 Oakham Pl
- Centreville, VA
- Zip : 20120-5214
- Fax : (844) 971-9711
- Phone : (571) 318-9711
Second Address
- Sung H Park
- 5602 Oakham Pl
- Centreville, VA
- Zip : 20120-5214
- Fax : (844) 971-9711
- Phone : (571) 318-9711
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter |
National Provider Identifier
| NPI | 1154860104 |
|---|---|
| Provider Name | Sung H Park |
| First Address | Centreville, VA 20120-5214 |
| Second Address | Centreville, VA 20120-5214 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2017 |
| Last Update Date | 22/02/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.