Jiongco, Edgardo C

Jiongco, Edgardo C is an individual health care provider with primary practice located at 601 Handeyside Lane , Fort Atkinson WI 53538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jiongco, Edgardo C can be contacted via phone (920) 563-5544.

Contact Information

Primary practice address
601 Handeyside Lane Fort Atkinson WI 53538
Phone: (920) 563-5544
Fax: (608) 833-6932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 20514 Wisconsin

Profile Details

NPI number 1720057771
LBN Legal business name Jiongco, Edgardo C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Feb 18th, 2008 - about 18 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 1720057771 NPPES
Wisconsin MEDICAID 31094800

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