Ongkeko, Eduardo Erasto Santiago

Ongkeko, Eduardo Erasto Santiago is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ongkeko, Eduardo Erasto Santiago can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-2045
Phone: (541) 267-5151
Fax: (541) 266-4565
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MT192364 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD154449 Oregon

Profile Details

NPI number 1831342773
LBN Legal business name Ongkeko, Eduardo Erasto Santiago
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2008
Last updated Jul 26th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831342773 NPPES
Oregon Other 161133 NBMC-MAIN GROUP MEDICAID
Oregon MEDICAID 500635456 NBMC-MAIN GROUP MEDICAID
Oregon Other 1407812365 NBMC-MAIN GROUP MEDICAID
Oregon Other 93-0635514 NBMC-MAIN GROUP MEDICAID
Oregon Other R0000WFBTV NBMC-MAIN GROUP MEDICAID

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