Fergus, Peter

Fergus, Peter is an individual health care provider with primary practice located at 1727 Shawano Ave Ste 201, Green Bay WI 54303-3273. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fergus, Peter can be contacted via phone (920) 272-1050.

Contact Information

Primary practice address
1727 Shawano Ave Ste 201 Green Bay WI 54303-3273
Phone: (920) 272-1050
Fax: (920) 272-1051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 19406 Wisconsin

Profile Details

NPI number 1639157936
LBN Legal business name Fergus, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Mar 6th, 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 1639157936 NPPES
Wisconsin MEDICAID 30979800
Wisconsin Other 110149556

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