Ferguson, Timothy

Ferguson, Timothy is an individual health care provider with primary practice located at 132 Perry St , Trenton NJ 08618-3968. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ferguson, Timothy can be contacted via phone (609) 394-8988.

Contact Information

Primary practice address
132 Perry St Trenton NJ 08618-3968
Phone: (609) 394-8988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1750704060
LBN Legal business name Ferguson, Timothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2014
Last updated Jan 23rd, 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 1750704060 NPPES
New Jersey Other 0102903 NJ MEDICAID PROVIDER
New Jersey Other 215114000 NJ MEDICAID PROVIDER
New Jersey Other 7603606 NJ MEDICAID PROVIDER
New Jersey Other 2000078 NJ MEDICAID PROVIDER
New Jersey Other 2000345-MV1-10 NJ MEDICAID PROVIDER
New Jersey Other 183739 NJ MEDICAID PROVIDER
New Jersey Other NJ-10046-M NJ MEDICAID PROVIDER
New Jersey Other 2000345 NJ MEDICAID PROVIDER

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