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Contact Information

HONG LIM PARK, DIPL. OM, LAC, OMD
400 BAY VIEW RD STE E
MUKWONAGO, WI53149-1770
 Phone: 262-749-0939
 Fax: 262-749-0939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for HONG LIM PARK · (Male)

NPI Number 1790291573
Status Active
Credentials DIPL. OM, LAC, OMD
Entity Individual
Enumeration date 12/15/2017
Last updated 12/15/2017 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 421-55
Hospital affiliation(s) Not Available
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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