Ferguson, Misti L.

Ferguson, Misti L. is an individual health care provider with primary practice located at 902 Illini Dr , Silvis IL 61282-4700. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ferguson, Misti L. can be contacted via phone (309) 796-3450.

Contact Information

Primary practice address
902 Illini Dr Silvis IL 61282-4700
Phone: (309) 796-3450
Fax: (309) 796-3460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070013897 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 03722 Iowa

Profile Details

NPI number 1619969748
LBN Legal business name Ferguson, Misti L.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Apr 13th, 2012 - 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 1619969748 NPPES
Illinois Other 070-013897 ILLINOIS PT LICENSE NO
Illinois Other 1245373166 ILLINOIS PT LICENSE NO

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