Ferguson, Jalen
Ferguson, Jalen is an individual health care provider with primary practice located at 3526 S Broadway Ave , Tyler TX 75701-8707. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Pediatric Chiropractor, Chiropractic Providers / Sports Physician, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Ferguson, Jalen can be contacted via phone (678) 761-3497.Contact Information
Primary practice address
3526 S Broadway Ave
Tyler TX 75701-8707
Phone: (678) 761-3497
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Pediatric Chiropractor | 111NP0017X | 0104557937 | Virginia |
| Chiropractic Providers / Sports Physician | 111NS0005X | 0104557937 | Virginia |
| Chiropractic Providers / Chiropractor | 111N00000X | 0104557937 | Virginia |
Profile Details
| NPI number | 1376322677 |
|---|---|
| LBN Legal business name | Ferguson, Jalen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2023 |
| Last updated | Jun 6th, 2024 - about 2 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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