Song, Michael H

Song, Michael H is an individual health care provider with primary practice located at 343 Elm St Suite 202, Reno NV 89503-4522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Song, Michael H can be contacted via phone (775) 323-6100.

Contact Information

Primary practice address
343 Elm St Suite 202 Reno NV 89503-4522
Phone: (775) 323-6100
Fax: (775) 323-6118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 10771 Nevada

Profile Details

NPI number 1124067491
LBN Legal business name Song, Michael H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Sep 24th, 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 1124067491 NPPES
Nevada Other CC7555 BLUE CROSS BLUE SHIELD
Nevada MEDICAID 100502786 BLUE CROSS BLUE SHIELD
Nevada Other 880167036A022 BLUE CROSS BLUE SHIELD

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