Song, Longfellow

Song, Longfellow is an sole proprietor health care provider with primary practice located at 232 Broad Ave Ste 208 , Palisades Park NJ 07650-1565. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Song, Longfellow can be contacted via phone (201) 944-2558.

Contact Information

Primary practice address
232 Broad Ave Ste 208 Palisades Park NJ 07650-1565
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 25MZ00075100 New Jersey

Profile Details

NPI number 1407319247
LBN Legal business name Song, Longfellow
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2019
Last updated Apr 9th, 2019 - about 5 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 1407319247 NPPES
New Jersey Other 25MZ00075100 ACUPUNCTURE

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