National Provider Identifier Database

S SONGCHAROEN MD FACS PLLC
Plastic and Reconstructive Surgery


Contact Information

S SONGCHAROEN MD, FACS, PLLC
971 LAKELAND DR
SUITE 315
JACKSON, MS39216-4643
Phone: 601-981-2525
Fax: 601-981-3152
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X
Plastic Surgery 208200000X
Surgery of the Hand 2082S0105X
Surgery of the Hand 2086S0105X

* Indicates primary specialty

NPI Profile & details for S SONGCHAROEN MD, FACS, PLLC

NPI Number 1215100599
Legal business name
LBN
S SONGCHAROEN MD, FACS, PLLC
Authorized official SONGCHAROEN SONGCHAROEN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/08/2008
Last updated 10/08/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Medicaid: 00015584
  • MS Other: 371563401F BCBS OF MS
  • MS Other: 1689615486 NPI INDIVIDUAL NUMBER
  • MS Other: 240007802 RR MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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