Ferguson, James W

Ferguson, James W is an sole proprietor health care provider with primary practice located at 170 W Main St , East Islip NY 11730-2216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ferguson, James W can be contacted via phone (631) 581-2049.

Contact Information

Primary practice address
170 W Main St East Islip NY 11730-2216
Phone: (631) 581-2049
Fax: (631) 581-3354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 150415 New York

Profile Details

NPI number 1730183013
LBN Legal business name Ferguson, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2005
Last updated Feb 20th, 2018 - about 6 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 1730183013 NPPES
New York MEDICAID 00813869

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