Fu, Liusong Jason

Fu, Liusong Jason is an sole proprietor health care provider with primary practice located at 8130 Country Village Dr , Cordova TN 38016-2087. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fu, Liusong Jason can be contacted via phone (901) 308-2915.

Contact Information

Primary practice address
8130 Country Village Dr Cordova TN 38016-2087
Phone: (901) 308-2915
Fax: (901) 308-2924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 46990 Tennessee

Profile Details

NPI number 1124286687
LBN Legal business name Fu, Liusong Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2008
Last updated Aug 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124286687 NPPES
Mississippi MEDICAID 04256723
Mississippi MEDICAID 1527911

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