Ferguson, Jay Michael

Ferguson, Jay Michael is an individual health care provider with primary practice located at 3500 Tower Ave , Superior WI 54880-5335. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ferguson, Jay Michael can be contacted via phone (715) 395-5454.

Contact Information

Primary practice address
3500 Tower Ave Superior WI 54880-5335
Phone: (715) 395-5454
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9175 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1802 Wisconsin

Profile Details

NPI number 1174690853
LBN Legal business name Ferguson, Jay Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 23rd, 2021 - about 5 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 1174690853 NPPES
Wisconsin MEDICAID 41997800

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