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Contact Information

ROBERT FERGUSON, M.A.T.S.
1828 CRANDELL
HEBER-OVERGAARD, AZ85928-5606
 Phone: 907-347-8619
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Foster Care Agency

253J00000X
 

Respite Care, Mental Illness, Child

385HR2055X
Indicates primary specialty

NPI Profile & details for ROBERT FERGUSON · (Male)

NPI Number 1649997636
Status Active
Credentials M.A.T.S.
Entity Individual
Enumeration date 10/20/2022
Last updated 04/24/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 11866128
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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