Ferguson, Otis B

Ferguson, Otis B is an individual health care provider with primary practice located at 7633 E Jefferson Ste 120, Detroit MI 48214-3730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ferguson, Otis B can be contacted via phone (313) 824-8941.

Contact Information

Primary practice address
7633 E Jefferson Ste 120 Detroit MI 48214-3730
Phone: (313) 824-8941
Fax: (313) 824-1115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301064409 Michigan

Profile Details

NPI number 1215013297
LBN Legal business name Ferguson, Otis B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Mar 11th, 2008 - about 17 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 1215013297 NPPES
Other 000000002337 CAPE HEALTH PLAN
Other 5285466 CAPE HEALTH PLAN
Other 48637 CAPE HEALTH PLAN
Other 1808205190 CAPE HEALTH PLAN
Other 1004844002 CAPE HEALTH PLAN
Other 117351 CAPE HEALTH PLAN
Other G12616 CAPE HEALTH PLAN

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