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Contact Information

JOSHUA PARK, MD
1500 S LAKE PARK AVE
SP401
HOBART, IN46342
 Phone: 219-945-4409
 Fax: 219-947-6206
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JOSHUA PARK · (Male)

NPI # 1225482854
Status Active
Credentials MD
Entity Individual
Enumeration date 04/20/2016
Last updated 08/30/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01085807A
Hospital affiliation(s)
  • COMMUNITY HOSPITAL - (Acute Care)
    901 MACARTHUR BLVD
    MUNSTER, IN 46321
  • ST MARY MEDICAL CENTER INC - (Acute Care)
    1500 S LAKE PARK AVE
    HOBART, IN 46342
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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