Song, Yong J
Song, Yong J is an individual health care provider with primary practice located at 6731 Ridge Rd Suite 302, Parma OH 44129-5708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Song, Yong J can be contacted via phone (440) 843-7772.Contact Information
Primary practice address
6731 Ridge Rd Suite 302
Parma OH 44129-5708
Phone: (440) 843-7772
Fax: (440) 845-0430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35040147 | Ohio |
Profile Details
| NPI number | 1548253792 |
|---|---|
| LBN Legal business name | Song, Yong J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | May 14th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548253792 | NPPES |
| Ohio | MEDICAID | 0373091 |
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