Ferguson, George

Ferguson, George is an individual health care provider with primary practice located at 2615 Edwards St , Alton IL 62002. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ferguson, George can be contacted via phone (618) 462-2331.

Contact Information

Primary practice address
2615 Edwards St Alton IL 62002
Phone: (618) 462-2331
Fax: (618) 462-7160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.017581 Illinois

Profile Details

NPI number 1861879355
LBN Legal business name Ferguson, George
Credentials M.S.W., L.C.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2015
Last updated Jul 12th, 2018 - about 8 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 1861879355 NPPES
Illinois MEDICAID 376000405

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