Ferguson, Keith Timothy
Ferguson, Keith Timothy is an individual health care provider with primary practice located at 3660 Vista Ave , Saint Louis MO 63110-2540. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ferguson, Keith Timothy can be contacted via phone (314) 977-6100.Contact Information
Primary practice address
3660 Vista Ave
Saint Louis MO 63110-2540
Phone: (314) 977-6100
Fax: (314) 977-6164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 61842-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036140072 | Illinois |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 2020013186 | Missouri |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036140072 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 61842-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2020013186 | Missouri |
Profile Details
| NPI number | 1861758526 |
|---|---|
| LBN Legal business name | Ferguson, Keith Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2012 |
| Last updated | Jun 22nd, 2020 - about 5 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 | 1861758526 | NPPES |
| Wisconsin | MEDICAID | 1861758526 |
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