C. Glen Ferguson D.O. P.C.

LBN: C. Glen Ferguson D.O. P.C.
C. Glen Ferguson D.O. P.C. is an health care organization with primary practice located at 1615 Bonforte Blvd , Pueblo CO 81001-1602. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. C. Glen Ferguson D.O. P.C. can be contacted via phone (719) 296-5840, or through Ferguson, C. Glen via phone (719) 296-5840.

Contact Information

Primary practice address
1615 Bonforte Blvd Pueblo CO 81001-1602
Phone: (719) 296-5840
Fax: (719) 542-0746
Website:
Map and Directions
Authorized official contact:
Name: Ferguson, C. Glen Doctor of Osteopathy (DO)
Phone: (719) 296-5840

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 17205 Colorado

Profile Details

NPI number 1710105333
LBN Legal business name C. Glen Ferguson D.O. P.C.
DBA Doing business as
Authorized official Ferguson, C. Glen Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2007
Last updated Jan 7th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710105333 NPPES
Colorado MEDICAID 01172055
Colorado Other FE03792

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