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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073944732 NPPES
Washington MEDICAID 2055679

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