Song, Cheng Chien
Song, Cheng Chien is an sole proprietor health care provider with primary practice located at 1001 12Th Ave Ste 154 , Fort Worth TX 76104-3929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Song, Cheng Chien can be contacted via phone (817) 810-9997.Contact Information
Primary practice address
1001 12Th Ave Ste 154
Fort Worth TX 76104-3929
Phone: (817) 810-9997
Fax: (817) 810-9978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | H2010 | Texas |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | R0003 | Texas |
Profile Details
| NPI number | 1669431094 |
|---|---|
| LBN Legal business name | Song, Cheng Chien |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Mar 13th, 2017 - about 7 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 | 1669431094 | NPPES |
| Texas | MEDICAID | 0964413 |
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