Ethan Yichen Song is a student in an organized health care education training program in Durham, NC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ethan Yichen Song NPI is 1013595693. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
40 DUKE MEDICINE CIR
DURHAM, NC
ZIP 27710-000
Phone: (919) 681-7139
The NPI 1013595693 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/1/2021 and was last updated on 4/1/2021.