Ekong, Anthony S
Ekong, Anthony S is an sole proprietor health care provider with primary practice located at 336 Mount Hope Ave Ste 1 , Bangor ME 04401-4236. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Ekong, Anthony S can be contacted via phone (207) 573-1509.Contact Information
Primary practice address
336 Mount Hope Ave Ste 1
Bangor ME 04401-4236
Phone: (207) 573-1509
Fax: (207) 573-1750
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease | 207WX0108X | MD21285 | Maine |
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | MD21285 | Maine |
Profile Details
NPI number | 1336171875 |
---|---|
LBN Legal business name | Ekong, Anthony S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 7th, 2006 |
Last updated | Jul 21st, 2022 - about 2 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 | 1336171875 | NPPES |
Illinois | MEDICAID | 036107903 | |
Illinois | Other | P00390107 |
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