Song, Jongwoo
Song, Jongwoo is an individual health care provider with primary practice located at 34515 9Th Ave S , Federal Way WA 98003-6761. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Song, Jongwoo can be contacted via phone (253) 426-6341.Contact Information
Primary practice address
34515 9Th Ave S
Federal Way WA 98003-6761
Phone: (253) 426-6341
Fax: (253) 426-6344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60628482 | Washington |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD60628482 | Washington |
Profile Details
| NPI number | 1073944732 |
|---|---|
| LBN Legal business name | Song, Jongwoo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2013 |
| Last updated | Apr 15th, 2021 - about 3 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 | 1073944732 | NPPES |
| Washington | MEDICAID | 2055679 |
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