Ferguson, Joni D.

Ferguson, Joni D. is an individual health care provider with primary practice located at 1000 Health Center Dr , Mattoon IL 61938-9261. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Ferguson, Joni D. can be contacted via phone (217) 258-2551.

Contact Information

Primary practice address
1000 Health Center Dr Mattoon IL 61938-9261
Fax: (217) 258-2256
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-124930 Illinois

Profile Details

NPI number 1932300548
LBN Legal business name Ferguson, Joni D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Nov 26th, 2018 - about 7 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 1932300548 NPPES
Illinois MEDICAID 6447860003

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