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
Phone: (304) 757-6999
Fax: (304) 757-3252
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366420614 | NPPES |
West Virginia | Other | 7623269 | AETNA |
West Virginia | MEDICAID | 1807628000 | AETNA |
West Virginia | Other | 001721959 | AETNA |
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