Song, Young S
Song, Young S is an sole proprietor health care provider with primary practice located at 3201 Rogers Ave Suite 102, Ellicott City MD 21043-4594. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Song, Young S can be contacted via phone (410) 480-2331.Contact Information
Primary practice address
3201 Rogers Ave Suite 102
Ellicott City MD 21043-4594
Phone: (410) 480-2331
Fax: (410) 480-2337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 02136 | Maryland |
Profile Details
| NPI number | 1730259177 |
|---|---|
| LBN Legal business name | Song, Young S |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Nov 10th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730259177 | NPPES |
| Maryland | Other | 001H847 | BCBS OF DC |
| Maryland | Other | 618848-01 | BCBS OF DC |
| Maryland | MEDICAID | 402969100 | BCBS OF DC |
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