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NPI Code Detail

MEDICARE: DR. JOSEPH EDWARD FERGUSON III DC

MEDICARE:  DR. JOSEPH EDWARD FERGUSON III DC
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
1111NR0400XRehabilitation Chiropractor21318CA

General Provider Information

NPI Number : 1750960209
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH EDWARD FERGUSON III DC
Provider Business Mailing Address
First Line : 1401 JONES ST APT 311
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-3203
Country : US
Telephone Number : 415-563-1415
Fax Number :
Provider Business Practice Location Address
First Line : 1401 JONES ST APT 311
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-3203
Country : US
Telephone Number : 415-563-1415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2021
Last Update Date : 04/02/2021

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Directions to “ DR. JOSEPH EDWARD FERGUSON III DC” Practice Location

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