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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811999717 NPPES
Illinois Other 01615327 BLUE CROSS
Illinois MEDICAID 036088421 BLUE CROSS

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