Kelly, William Ferris

Kelly, William Ferris is an individual health care provider with primary practice located at 317 Western Blvd , Jacksonville NC 28546-6338. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kelly, William Ferris can be contacted via phone (910) 577-2345.

Contact Information

Primary practice address
317 Western Blvd Jacksonville NC 28546-6338
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0034643 North Carolina

Profile Details

NPI number 1881727212
LBN Legal business name Kelly, William Ferris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 9th, 2007 - about 18 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 1881727212 NPPES
North Carolina Other 0760C BLUE CROSS GROUP
North Carolina MEDICAID 6907604 BLUE CROSS GROUP
North Carolina Other 562014989001 BLUE CROSS GROUP
North Carolina MEDICAID 8948216 BLUE CROSS GROUP
North Carolina Other 48216 BLUE CROSS GROUP

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