Soochul Song, is a
Student In An Organized Health Care Education/training Program based in Seattle, Washington. Soochul Song is licensed to practice in * (Not Available) (license number ) and his current practice location is
2329 4th Ave, Seattle, Washington. He can be reached at his office (for appointments etc.) via phone at
(206) 461-3649.
NPI number for Soochul Song is 1831607175 and his current mailing address is 6400 Southcenter Blvd, Tukwila, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831607175.
Healthcare Provider's Profile
| Full Name | Soochul Song |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2329 4th Ave, Seattle, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1831607175
- Provider Enumeration Date: 01/22/2018
- Last Update Date: 09/30/2021
Medical Identifiers
Medical identifiers for Soochul Song such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831607175 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Soochul Song is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Soochul Song,
6400 Southcenter Blvd,
Tukwila, WA 98188-2547
Ph: () - | Soochul Song,
2329 4th Ave,
Seattle, WA 98121-1717
Ph: (206) 461-3649 |
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