Furgurson, Jill E.

Furgurson, Jill E. is an sole proprietor health care provider with primary practice located at 147 N Brent St , Ventura CA 93003-2809. She recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as her primary health care specialty. Furgurson, Jill E. can be contacted via phone (805) 652-5051.

Contact Information

Primary practice address
147 N Brent St Ventura CA 93003-2809
Fax: (805) 585-3007
Website:

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X G36815 California

Profile Details

NPI number 1174698351
LBN Legal business name Furgurson, Jill E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2006
Last updated Jul 11th, 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 1174698351 NPPES
California MEDICAID HSC30394F
California Other ZZZ53994Z
California Other 050394
California Other ZZZA56032
California Other 95-1683892
California MEDICAID ZZT40394F

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