Song, Je
Song, Je is an sole proprietor health care provider with primary practice located at 19424 Saucier Lizana Rd , Saucier MS 39574-9667. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Song, Je can be contacted via phone (228) 206-2681.Contact Information
Primary practice address
19424 Saucier Lizana Rd
Saucier MS 39574-9667
Phone: (228) 206-2681
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 17284 | Mississippi |
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 17284 | Mississippi |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 17284 | Mississippi |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 17284 | Mississippi |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 17284 | Mississippi |
Profile Details
| NPI number | 1568509099 |
|---|---|
| LBN Legal business name | Song, Je |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jan 19th, 2011 - about 14 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 | 1568509099 | NPPES |
| Mississippi | MEDICAID | 04906363 |
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