Ferguson, Sara B

Ferguson, Sara B is an individual health care provider with primary practice located at 32 Colonnade Way , State College PA 16803-2309. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Ferguson, Sara B can be contacted via phone (814) 272-4445.

Contact Information

Primary practice address
32 Colonnade Way State College PA 16803-2309
Phone: (814) 272-4445
Fax: (814) 272-4450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD437015 Pennsylvania

Profile Details

NPI number 1992781959
LBN Legal business name Ferguson, Sara B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated May 22nd, 2014 - about 12 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 1992781959 NPPES
Pennsylvania MEDICAID 1023718890001
Pennsylvania Other FE2121236
Pennsylvania Other 129059
Pennsylvania Other 163899KNC

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