Ferguson, Leonard

Ferguson, Leonard is an individual health care provider with primary practice located at 6301 University Commons Suite 310, South Bend IN 46635-1571. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Ferguson, Leonard can be contacted via phone (574) 232-1471.

Contact Information

Primary practice address
6301 University Commons Suite 310 South Bend IN 46635-1571
Phone: (574) 232-1471
Fax: (574) 239-8511
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01035833A Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01035833A Indiana

Profile Details

NPI number 1992744247
LBN Legal business name Ferguson, Leonard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Sep 6th, 2011 - about 13 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 1992744247 NPPES
Indiana MEDICAID 100336090A
Indiana Other 735850C

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