Fergus, Michael Patrick

Fergus, Michael Patrick is an individual health care provider with primary practice located at 13025 Conifer St , Plainfield IL 60585-2989. He recently has only one registered license in Chiropractic Providers / Radiology, which is considered as his primary health care specialty. Fergus, Michael Patrick can be contacted via phone (815) 436-4986.

Contact Information

Primary practice address
13025 Conifer St Plainfield IL 60585-2989
Phone: (815) 436-4986
Fax: (815) 230-2608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Radiology 111NR0200X 038-008518 Illinois

Profile Details

NPI number 1124027354
LBN Legal business name Fergus, Michael Patrick
Credentials DC, DACBR
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 13th, 2015 - about 9 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 1124027354 NPPES
Illinois Other 9932261 BCBS

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