Song, Benjamin J

Song, Benjamin J is an individual health care provider with primary practice located at 2000 N Huron River Dr Ste 200 , Ypsilanti MI 48197. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Song, Benjamin J can be contacted via phone (734) 434-3007.

Contact Information

Primary practice address
2000 N Huron River Dr Ste 200 Ypsilanti MI 48197
Fax: (734) 434-6317
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301071851 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301071851 Michigan
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 4301071851 Michigan

Profile Details

NPI number 1750362034
LBN Legal business name Song, Benjamin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jun 12th, 2018 - about 6 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 1750362034 NPPES
Michigan MEDICAID 104625172
Michigan MEDICAID 104630557

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