Ferguson, Cynthia D

Ferguson, Cynthia D is an individual health care provider with primary practice located at 721 Fairfax Ave Suite 200, Norfolk VA 23507-2007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ferguson, Cynthia D can be contacted via phone (757) 446-5629.

Contact Information

Primary practice address
721 Fairfax Ave Suite 200 Norfolk VA 23507-2007
Phone: (757) 446-5629
Fax: (757) 446-6000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110840865 Virginia

Profile Details

NPI number 1255350765
LBN Legal business name Ferguson, Cynthia D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 4th, 2012 - about 14 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 1255350765 NPPES
Virginia Other -005 TRICARE/CHAMPUS
Virginia Other PAR TRICARE/CHAMPUS
Virginia MEDICAID 1255350765 TRICARE/CHAMPUS
Virginia MEDICAID 8101062 TRICARE/CHAMPUS
Virginia Other 10049273P TRICARE/CHAMPUS
Virginia Other PAR TRICARE/CHAMPUS
Virginia Other PAR TRICARE/CHAMPUS

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