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Contact Information

JONATHAN FERGUSON, MS, LAT, ATC
26301 LA-1088
MANDEVILLE, LA70448
 Phone: 985-624-5046
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JONATHAN FERGUSON · (Male)

NPI Number 1154779551
Status Active
Credentials MS, LAT, ATC
Entity Individual
Enumeration date 05/26/2016
Last updated 05/26/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # ATH.200450
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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