Song, Seung-Jae Texas

Song, Seung-Jae Texas is an individual health care provider with primary practice located at 6286 Briarcrest Ave Ste 120 , Memphis TN 38120-4023. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Song, Seung-Jae Texas can be contacted via phone (901) 259-1600.

Contact Information

Primary practice address
6286 Briarcrest Ave Ste 120 Memphis TN 38120-4023
Phone: (901) 259-1600
Fax: (901) 259-1698
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 753 Tennessee

Profile Details

NPI number 1922388206
LBN Legal business name Song, Seung-Jae Texas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2011
Last updated Nov 22nd, 2022 - 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 1922388206 NPPES
Tennessee Other T83001A MEDICARE
Tennessee Other 753 MEDICARE

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