Individual
ERIC NEIL SUBONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 WESTERLY RD, SUITE 101, BELLINGHAM, WA 98226
(360) 656-5839
(360) 306-8921
Mailing address
200 WESTERLY RD, SUITE 101, BELLINGHAM, WA 98226
(360) 656-5839
(360) 306-8921
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD0000041069
TN
207W00000X
Ophthalmology Physician
Primary
MD00049354
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211497
UNISON
—
05
—
07552818
—
MS
05
—
163826001
—
AR
05
—
3815478
—
TN
01
—
40561
TLC
—
01
—
4134344
BCBS TN
—
01
—
4900217
CIGNA
—
01
—
7360889
AETNA
—
01
—
84231
BCBS AR
—
Enumeration date
06/14/2006
Last updated
11/22/2017
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