Song, Liqun

Song, Liqun is an individual health care provider with primary practice located at 135 Division St , Ansonia CT 06401-2135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Song, Liqun can be contacted via phone (203) 735-3500.

Contact Information

Primary practice address
135 Division St Ansonia CT 06401-2135
Fax: (203) 735-0505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 044563 Connecticut

Profile Details

NPI number 1699839852
LBN Legal business name Song, Liqun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Dec 11th, 2012 - about 13 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 1699839852 NPPES
Connecticut MEDICAID 001445635

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