Ferguson, Angela Beth

Ferguson, Angela Beth is an sole proprietor health care provider with primary practice located at 301-6 Great Teays Blvd , Scott Depot WV 25560. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ferguson, Angela Beth can be contacted via phone (304) 757-6999.

Contact Information

Primary practice address
301-6 Great Teays Blvd Scott Depot WV 25560
Fax: (304) 757-3252
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20603 West Virginia

Profile Details

NPI number 1366420614
LBN Legal business name Ferguson, Angela Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2006
Last updated Dec 27th, 2011 - about 14 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 1366420614 NPPES
West Virginia Other 7623269 AETNA
West Virginia MEDICAID 1807628000 AETNA
West Virginia Other 001721959 AETNA

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