Kosofsky, Song-Min Shin

Kosofsky, Song-Min Shin is an individual health care provider with primary practice located at 3700 Fettler Park Drive Dumfries Health Clinic, Dumfries VA 22025. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kosofsky, Song-Min Shin can be contacted via phone (703) 441-7500.

Contact Information

Primary practice address
3700 Fettler Park Drive Dumfries Health Clinic Dumfries VA 22025
Phone: (703) 441-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13467 Rhode Island

Profile Details

NPI number 1346417722
LBN Legal business name Kosofsky, Song-Min Shin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2008
Last updated Apr 26th, 2017 - about 8 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 1346417722 NPPES
Rhode Island MEDICAID SK83695

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