Provider Demographics
NPI:1154399616
Name:SONGER, JOSEPH M (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:M
Last Name:SONGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 N WHEELING
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304
Mailing Address - Country:US
Mailing Address - Phone:765-273-7185
Mailing Address - Fax:765-751-5008
Practice Address - Street 1:2401 W UNIVERSITY AVE
Practice Address - Street 2:SUITE 1513-1514 PSYCH
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-3428
Practice Address - Country:US
Practice Address - Phone:765-747-4273
Practice Address - Fax:765-751-5008
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01022350A207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN220017060OtherMEDICARE B-RAILRAOD
IN100104840AMedicaid
INB28545Medicare UPIN
IN220017060OtherMEDICARE B-RAILRAOD