Song, Jae Hwan

Song, Jae Hwan is an sole proprietor health care provider with primary practice located at 640 Dr Mary Mcleod Bethune Blvd Handfiled Athletic Training Center, Daytona Beach FL 32114-3012. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Song, Jae Hwan can be contacted via phone (386) 481-2261.

Contact Information

Primary practice address
640 Dr Mary Mcleod Bethune Blvd Handfiled Athletic Training Center Daytona Beach FL 32114-3012
Phone: (386) 481-2261
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL3738 Florida

Profile Details

NPI number 1265823421
LBN Legal business name Song, Jae Hwan
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2015
Last updated Feb 10th, 2015 - about 11 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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