Ferguson, James Edward

Ferguson, James Edward is an sole proprietor health care provider with primary practice located at 8501 Joliet Ave , Lubbock TX 79423-2628. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Ferguson, James Edward can be contacted via phone (806) 786-9654.

Contact Information

Primary practice address
8501 Joliet Ave Lubbock TX 79423-2628
Phone: (806) 786-9654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 25952 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 25952 Texas

Profile Details

NPI number 1104810365
LBN Legal business name Ferguson, James Edward
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2005
Last updated Jul 24th, 2012 - about 12 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 1104810365 NPPES
Texas MEDICAID 071275402

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