Baek, Song I
Baek, Song I is an individual health care provider with primary practice located at 1004 Parkway Ave Ste E , Elkhart IN 46516-9349. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baek, Song I can be contacted via phone (574) 218-7131.Contact Information
Primary practice address
1004 Parkway Ave Ste E
Elkhart IN 46516-9349
Phone: (574) 218-7131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71006583A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 28231893A | Indiana |
Profile Details
| NPI number | 1679020119 |
|---|---|
| LBN Legal business name | Baek, Song I |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2016 |
| Last updated | Nov 15th, 2023 - about 2 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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