Sobong, Enrico C

Sobong, Enrico C is an individual health care provider with primary practice located at 1180 N Indian Canyon Dr Ste E 218, Palm Springs CA 92262-4835. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Medical Oncology. Other Service Providers / Specialist is his primary health care specialty. Sobong, Enrico C can be contacted via phone (760) 416-4866.

Contact Information

Primary practice address
1180 N Indian Canyon Dr Ste E 218 Palm Springs CA 92262-4835
Phone: (760) 416-4866
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301037733 Michigan
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 4301037733 Michigan
Other Service Providers / Specialist 174400000X C53891 California

Profile Details

NPI number 1609877968
LBN Legal business name Sobong, Enrico C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Apr 27th, 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 1609877968 NPPES
Michigan Other 900004368 RR MEDICARE

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