Ferguson, Earl W
Ferguson, Earl W is an sole proprietor health care provider with primary practice located at 1081 N China Lake Blvd , Ridgecrest CA 93555-3131. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ferguson, Earl W can be contacted via phone (760) 499-3000.Contact Information
Primary practice address
1081 N China Lake Blvd
Ridgecrest CA 93555-3131
Phone: (760) 499-3000
Fax: (760) 499-3014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G83290 | California |
Profile Details
| NPI number | 1760485494 |
|---|---|
| LBN Legal business name | Ferguson, Earl W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2005 |
| Last updated | Dec 19th, 2012 - about 13 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 | 1760485494 | NPPES |
| California | Other | 95-2082686 | TAX ID |
| California | Other | G83290 | TAX ID |
| California | MEDICAID | 00G832900 | TAX ID |
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