Individual
DR. HAROLD ALLEN FERGUSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
450B WASHINGTON JACKSON RD, SUITE 102, EATON, OH 45320-7600
(937) 456-8360
(937) 456-8363
Mailing address
450B WASHINGTON JACKSON RD, SUITE 102, EATON, OH 45320-7600
(937) 456-8360
(937) 456-8363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004371
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000177331
NATIONAL BENEFIT FUND
OH
01
—
00000177331
BLUE CROSS BLUE SHIELD OH
OH
01
—
0636177
AETNA/US HEALTHCARE HMO
OH
05
—
0667292
—
OH
01
—
110028240
RAILROAD MEDICARE-PALMETT
OH
01
—
1971455
CIGNA
OH
01
—
31121296200
WORKERS COMP OHIO
OH
01
—
311212962026
CARESOURCE
OH
01
—
34004371
MEDICAL LICENSE #
OH
01
—
4358796
AETNA/US HEALTHCARE
OH
Enumeration date
06/08/2006
Last updated
04/20/2017
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