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Contact Information

EDGARDO C JIONGCO, MD
601 HANDEYSIDE LANE
FORT ATKINSON, WI53538
 Phone: 920-563-5544
 Fax: 608-833-6932
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for EDGARDO C JIONGCO · (Male)

NPI # 1720057771
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2006
Last updated 02/18/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 20514
  • WI Medicaid 31094800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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