Ferguson, Michael Alexander

Ferguson, Michael Alexander is an individual health care provider with primary practice located at 22 Bramhall St Mmc Picu, Portland ME 04102-3134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Ferguson, Michael Alexander can be contacted via phone (207) 662-6711.

Contact Information

Primary practice address
22 Bramhall St Mmc Picu Portland ME 04102-3134
Phone: (207) 662-6711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 247146 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD20538 Maine
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MT202833 Pennsylvania

Profile Details

NPI number 1013181668
LBN Legal business name Ferguson, Michael Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Apr 27th, 2017 - 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 1013181668 NPPES
Maine MEDICAID 1013181668

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