Soong, Derrick

Soong, Derrick is an individual health care provider with primary practice located at 100 Ne Gilman Blvd , Issaquah WA 98027-2925. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Soong, Derrick can be contacted via phone (425) 557-8000.

Contact Information

Primary practice address
100 Ne Gilman Blvd Issaquah WA 98027-2925
Phone: (425) 557-8000
Fax: (425) 557-8014
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60777389 Washington

Profile Details

NPI number 1275946519
LBN Legal business name Soong, Derrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2014
Last updated Dec 13th, 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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