Song, Taiil Ted

Song, Taiil Ted is an sole proprietor health care provider with primary practice located at 11203 Bridgeport Way Sw , Lakewood WA 98499-3002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Song, Taiil Ted can be contacted via phone (253) 589-1380.

Contact Information

Primary practice address
11203 Bridgeport Way Sw Lakewood WA 98499-3002
Phone: (253) 589-1380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X OP00002163 Washington
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X E-2006 Arkansas
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X OP00002163 Washington

Profile Details

NPI number 1669532842
LBN Legal business name Song, Taiil Ted
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Sep 14th, 2021 - 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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