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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477717130 | NPPES |
| Washington | MEDICAID | 9658030 |
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