Fu, Liusong Jason
Fu, Liusong Jason is an sole proprietor health care provider with primary practice located at 8130 Country Village Dr , Cordova TN 38016-2087. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fu, Liusong Jason can be contacted via phone (901) 308-2915.Contact Information
Primary practice address
8130 Country Village Dr
Cordova TN 38016-2087
Phone: (901) 308-2915
Fax: (901) 308-2924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 46990 | Tennessee |
Profile Details
| NPI number | 1124286687 |
|---|---|
| LBN Legal business name | Fu, Liusong Jason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2008 |
| Last updated | Aug 10th, 2020 - about 5 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 | 1124286687 | NPPES |
| Mississippi | MEDICAID | 04256723 | |
| Mississippi | MEDICAID | 1527911 |
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