1. Home
  2. Directory
  3. Montana
  4. Missoula
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MR. SEUNG GON SONG P.T.
NPI 1619550779
Student in an Organized Health Care Education/Training Program in Missoula, MT

Active since May 05, 2021
32 CAMPUS DR., MISSOULA, MT 58981(917) 640-4213 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2023, May 5, 2021 (2 updates tracked since 2021).

About Mr. Seung Gon Song P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SEUNG GON SONG P.T. (NPI 1619550779) is an individual student in an organized health care education/training program in Missoula, Montana and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1619550779
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SEUNG GON SONGCredential: P.T.
Location Address32 CAMPUS DR.Missoula, MT 58981
Mailing Address135-25f 79th Street, Medical Now, Suite 2aHoward Beach, NY 11414 · (718) 296-3600
Phone(917) 640-4213
Sole ProprietorYes
Enumeration DateMay 5, 2021
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1619550779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
32 CAMPUS DR., Missoula, MT 58981
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seung Gon Song's NPI number?

The NPI number for Seung Gon Song is 1619550779. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Seung Gon Song located?

Seung Gon Song practices at 32 Campus Dr., Missoula, MT 58981. The listed phone number is (917) 640-4213.

What is Seung Gon Song's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Seung Gon Song was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.