Yu, Song Ki

Yu, Song Ki is an individual health care provider with primary practice located at 1817 Black Rock Tpke Ste 8 Advanced Medical Footcare, Fairfield CT 06825-3546. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Yu, Song Ki can be contacted via phone (203) 330-8080.

Contact Information

Primary practice address
1817 Black Rock Tpke Ste 8 Advanced Medical Footcare Fairfield CT 06825-3546
Phone: (203) 330-8080
Fax: (203) 334-6924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000764 Connecticut

Profile Details

NPI number 1790770352
LBN Legal business name Yu, Song Ki
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Mar 4th, 2014 - about 12 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 1790770352 NPPES
Connecticut Other 5454010001 DME

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