Ferguson, Craig Randall

Ferguson, Craig Randall is an individual health care provider with primary practice located at 955 Powell Ave Sw , Renton WA 98057-2908. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Ferguson, Craig Randall can be contacted via phone (425) 203-0432.

Contact Information

Primary practice address
955 Powell Ave Sw Renton WA 98057-2908
Phone: (425) 203-0432
Fax: (425) 277-1566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X PENDING Washington

Profile Details

NPI number 1477717130
LBN Legal business name Ferguson, Craig Randall
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2008
Last updated Dec 8th, 2008 - about 16 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 1477717130 NPPES
Washington MEDICAID 9658030

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