Provider Demographics
NPI:1861764250
Name:FERGUSON CHIROPRACTIC SOLUTIONS LLC
Entity type:Organization
Organization Name:FERGUSON CHIROPRACTIC SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DELWEYN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:937-313-4887
Mailing Address - Street 1:7058 DAYTON RD
Mailing Address - Street 2:
Mailing Address - City:ENON
Mailing Address - State:OH
Mailing Address - Zip Code:45323-1439
Mailing Address - Country:US
Mailing Address - Phone:937-313-4887
Mailing Address - Fax:
Practice Address - Street 1:7058 DAYTON RD
Practice Address - Street 2:
Practice Address - City:ENON
Practice Address - State:OH
Practice Address - Zip Code:45323-1439
Practice Address - Country:US
Practice Address - Phone:937-313-4887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty