Song, Edward W

Song, Edward W is an individual health care provider with primary practice located at 1675 E Melrose St Ste 101-103 , Gilbert AZ 85297-1001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Song, Edward W can be contacted via phone (602) 648-5444.

Contact Information

Primary practice address
1675 E Melrose St Ste 101-103 Gilbert AZ 85297-1001
Phone: (602) 648-5444
Fax: (602) 772-3801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 33859 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 33859 Arizona

Profile Details

NPI number 1518947530
LBN Legal business name Song, Edward W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 26th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518947530 NPPES
Arizona MEDICAID 958928
Arizona Other 3Z3945

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