Ferguson, Bruce L
Ferguson, Bruce L is an individual health care provider with primary practice located at 1555 S Palm Canyon Dr Bldg C , Palm Springs CA 92264-8354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ferguson, Bruce L can be contacted via phone (760) 969-7770.Contact Information
Primary practice address
1555 S Palm Canyon Dr Bldg C
Palm Springs CA 92264-8354
Phone: (760) 969-7770
Fax: (760) 969-7771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036088421 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G89429 | California |
Profile Details
| NPI number | 1811999717 |
|---|---|
| LBN Legal business name | Ferguson, Bruce L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Dec 7th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811999717 | NPPES |
| Illinois | Other | 01615327 | BLUE CROSS |
| Illinois | MEDICAID | 036088421 | BLUE CROSS |
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