Fergus, Todd S

Fergus, Todd S is an individual health care provider with primary practice located at 1727 Shawano Ave Suite 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, Todd S can be contacted via phone (920) 496-8877.

Contact Information

Primary practice address
1727 Shawano Ave Suite 201 Green Bay WI 54303-3273
Fax: (920) 496-3061
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 47587-020 Wisconsin

Profile Details

NPI number 1083694111
LBN Legal business name Fergus, Todd S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Mar 7th, 2023 - about 2 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 1083694111 NPPES
Other P00606706 RAILROAD MEDICARE
MEDICAID 34684700 RAILROAD MEDICARE

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