Song, Yong J

Song, Yong J is an individual health care provider with primary practice located at 6731 Ridge Rd Suite 302, Parma OH 44129-5708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Song, Yong J can be contacted via phone (440) 843-7772.

Contact Information

Primary practice address
6731 Ridge Rd Suite 302 Parma OH 44129-5708
Fax: (440) 845-0430
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35040147 Ohio

Profile Details

NPI number 1548253792
LBN Legal business name Song, Yong J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated May 14th, 2010 - about 14 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 1548253792 NPPES
Ohio MEDICAID 0373091

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