Rae Jean De Leon Ferguso in Buckeye - Contractor
Rae Jean De Leon Ferguso - NPI 1154477123
Rae Jean De Leon Ferguso is a Contractor in Buckeye, Arizona. Rae Jean De Leon Ferguso practices all healthcare services and medical treatments related to Contractor. The NPI Number for Rae Jean De Leon Ferguso is 1154477123. The last update date is 2009-10-13.
Rae Jean De Leon Ferguso's current location address is 24743 W Illini St, Buckeye, Arizona. You can contact this provider via phone number 6233867631. The mailing address for Rae Jean De Leon Ferguso is 24743 W Illini St, Buckeye, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rae Jean De Leon Ferguso |
|---|---|
| Address | 24743 W Illini St, Buckeye, Arizona |
| Phone Number | 6233867631 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1154477123 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2009-10-13 |
Provider Mailing Address Detail
| Address | 24743 W Illini St |
|---|---|
| City | Buckeye |
| State | Arizona (AZ) |
| Post Code | 853263376 |
| Phone Number | 6233867631 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
| Licence No | 11264 |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 171W00000X | AZ | -- |
Post Comment/ Review Below
What is the Rae Jean De Leon Ferguso's 1154477123?
The Rae Jean De Leon Ferguso's NPI (National Provider Identifier) Number is 1154477123. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Rae Jean De Leon Ferguso's facilities are situated?
The facilities of Rae Jean De Leon Ferguso are physically located at the following address: 24743 W Illini St, Buckeye, AZ, 853263376.
What is Rae Jean De Leon Ferguso's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Rae Jean De Leon Ferguso is Contractor, and the taxonomy classification code that categorizes this area of expertise is 171W00000X.
When was the Rae Jean De Leon Ferguso's 1154477123 issued?
The Rae Jean De Leon Ferguso's 1154477123 was issued on 2007-01-25.
When was the information pertaining to Rae Jean De Leon Ferguso most recently updated or revised?
The details related to Rae Jean De Leon Ferguso, including its address, specialty, and other relevant information, were last updated or revised on 2009-10-13.
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