Ferguson, Jonathan L.

Ferguson, Jonathan L. is an individual health care provider with primary practice located at 698 Featherstone Rd , Rockford IL 61107-6303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Ferguson, Jonathan L. can be contacted via phone (815) 398-3277.

Contact Information

Primary practice address
698 Featherstone Rd Rockford IL 61107-6303
Phone: (815) 398-3277
Fax: (815) 484-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 036078516 Illinois

Profile Details

NPI number 1669452934
LBN Legal business name Ferguson, Jonathan L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Sep 21st, 2011 - about 15 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 1669452934 NPPES
Illinois MEDICAID 036078516

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