Individual
DR. CHAD FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15763 CW HADAN DR, BENNINGTON, NE 68007
(402) 238-2248
Mailing address
11065 N LAKESHORE DR, BLAIR, NE 68008-6253
(402) 533-4410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1388
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47063669803
—
NE
01
—
DG0483
RR MEDICARE GROUP
NE
01
—
P00411310
RR MEDICARE
NE
Enumeration date
10/31/2006
Last updated
04/17/2008
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