Song, Tae J
Song, Tae J is an sole proprietor health care provider with primary practice located at 1310 Continental St , Redding CA 96001-0839. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Song, Tae J can be contacted via phone (530) 241-5335.Contact Information
Primary practice address
1310 Continental St
Redding CA 96001-0839
Phone: (530) 241-5335
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E 4773 | California |
Profile Details
| NPI number | 1679749188 |
|---|---|
| LBN Legal business name | Song, Tae J |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2008 |
| Last updated | May 4th, 2017 - about 7 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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