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
Phone: (201) 944-2558
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407319247 | NPPES |
| New Jersey | Other | 25MZ00075100 | ACUPUNCTURE |
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