MEDICARE: AARON FERGUSON D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	268630	CA
2	111N00000X	Chiropractor	26863	CA

General Provider Information

NPI Number	:	1457546566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON FERGUSON D.C.

Provider Business Mailing Address
First Line	:	2064 UNION ST
Second Line	:	2ND FLOOR
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-4103
Country	:	US
Telephone Number	:	415-776-4064
Fax Number	:	415-776-6360

Provider Business Practice Location Address
First Line	:	2064 UNION ST
Second Line	:	2ND FLOOR
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-4103
Country	:	US
Telephone Number	:	415-776-4064
Fax Number	:	415-776-6360

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2007
Last Update Date	:	09/11/2007

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