Ferguson, Edrick Jordan

Ferguson, Edrick Jordan is an sole proprietor health care provider with primary practice located at 2804 Battleground Dr Murfreesboro, Murfreesboro TN 37129-6492. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ferguson, Edrick Jordan can be contacted via phone (804) 519-3993.

Contact Information

Primary practice address
2804 Battleground Dr Murfreesboro Murfreesboro TN 37129-6492
Phone: (804) 519-3993
Fax: (423) 837-9547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 26307 Tennessee
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35079693 Ohio

Profile Details

NPI number 1659365872
LBN Legal business name Ferguson, Edrick Jordan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2005
Last updated Jun 19th, 2023 - about last year

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 1659365872 NPPES
Ohio MEDICAID 2383924
Ohio MEDICAID 30885811
Ohio Other P00468253
Ohio MEDICAID 1508037
Ohio Other 000000270956
Ohio Other 4191954
Ohio Other 4166295

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