Song, Jinsup
Song, Jinsup is an individual health care provider with primary practice located at 148 N 8Th St , Philadelphia PA 19107-2496. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Song, Jinsup can be contacted via phone (215) 777-5808.Contact Information
Primary practice address
148 N 8Th St
Philadelphia PA 19107-2496
Phone: (215) 777-5808
Fax: (215) 777-5825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC004393L | Pennsylvania |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | SC004393L | Pennsylvania |
Profile Details
| NPI number | 1295721777 |
|---|---|
| LBN Legal business name | Song, Jinsup |
| Credentials | DPM PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Oct 3rd, 2023 - about last year |
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 | 1295721777 | NPPES |
| Pennsylvania | MEDICAID | 0018076090003 | |
| Pennsylvania | Other | 8259607 | |
| Pennsylvania | Other | 893038 | |
| Pennsylvania | Other | 1125735 | |
| Pennsylvania | Other | 231365971 | |
| Pennsylvania | MEDICAID | 1807609 | |
| Pennsylvania | Other | P2665731 | |
| Pennsylvania | Other | 0499950000 | |
| Pennsylvania | Other | 231365971071 | |
| Pennsylvania | Other | S0819326 | |
| Pennsylvania | Other | 231365971 | |
| Pennsylvania | Other | 9231 | |
| Pennsylvania | Other | H19826 | |
| Pennsylvania | Other | 2353876 | |
| Pennsylvania | Other | 28824 | |
| Pennsylvania | Other | 480030054 | |
| Pennsylvania | Other | 3Y2326 | |
| Pennsylvania | Other | 435767 |
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