Fergison, Ronald

Fergison, Ronald is an individual health care provider with primary practice located at 1315 E Ash Ave , Buckeye AZ 85326-2205. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Fergison, Ronald can be contacted via phone (623) 386-4011.

Contact Information

Primary practice address
1315 E Ash Ave Buckeye AZ 85326-2205
Phone: (623) 386-4011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1072 Arizona

Profile Details

NPI number 1790785038
LBN Legal business name Fergison, Ronald
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Apr 2nd, 2014 - about 12 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 1790785038 NPPES
Arizona MEDICAID 158388

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