Ferguson, Leonard Jay

Ferguson, Leonard Jay is an individual health care provider with primary practice located at 2180 Main St , Wailuku HI 96793-1666. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ferguson, Leonard Jay can be contacted via phone (808) 242-6464.

Contact Information

Primary practice address
2180 Main St Wailuku HI 96793-1666
Phone: (808) 242-6464
Fax: (808) 242-4292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X AMD-305 Hawaii

Profile Details

NPI number 1548420490
LBN Legal business name Ferguson, Leonard Jay
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Jun 13th, 2008 - about 17 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 1548420490 NPPES
Hawaii Other AMD-305 HI. LIC

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