Banquerigo, Eldine A
Banquerigo, Eldine A is an sole proprietor health care provider with primary practice located at 8112 Milliken Ave Ste 100 , Rancho Cucamonga CA 91730-7472. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Banquerigo, Eldine A can be contacted via phone (909) 466-6410.Contact Information
Primary practice address
8112 Milliken Ave Ste 100
Rancho Cucamonga CA 91730-7472
Phone: (909) 466-6410
Fax: (909) 466-5667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A53530 | California |
Profile Details
| NPI number | 1851367528 |
|---|---|
| LBN Legal business name | Banquerigo, Eldine A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Nov 21st, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851367528 | NPPES |
| California | MEDICAID | 00A535300 | |
| California | Other | 33-0917177 |
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