Homer A Ferguson, Jr, Md, Pc

LBN: Homer A Ferguson, Jr, Md, Pc
Homer A Ferguson, Jr, Md, Pc is an health care organization with primary practice located at 3990 N Illinois , Swansea IL 62226. The organization recently has only one registered license in Eye and Vision Services Providers / Ophthalmic, which is considered as the primary health care specialty. Homer A Ferguson, Jr, Md, Pc can be contacted via phone (618) 277-1130, or through Ferguson, Homer A via phone (618) 277-1130.

Contact Information

Primary practice address
3990 N Illinois Swansea IL 62226
Phone: (618) 277-1130
Fax: (618) 277-6651
Website:
Map and Directions
Authorized official contact:
Name: Ferguson, Homer A Doctor of Medicine (MD)
Phone: (618) 277-1130

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ophthalmic 156FX1100X

Profile Details

NPI number 1790728012
LBN Legal business name Homer A Ferguson, Jr, Md, Pc
DBA Doing business as
Authorized official Ferguson, Homer A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Nov 20th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790728012 NPPES
Illinois Other 1225033178 NPI INDIVIDUAL

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