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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609877968 | NPPES |
| Michigan | Other | 900004368 | RR MEDICARE |
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