Provider Demographics
NPI:1346556123
Name:FERGUSON, ARON DOUGLAS (DC)
Entity Type:Individual
Prefix:DR
First Name:ARON
Middle Name:DOUGLAS
Last Name:FERGUSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7121 STEPHANIE LN
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5359
Mailing Address - Country:US
Mailing Address - Phone:402-328-2660
Mailing Address - Fax:402-328-2657
Practice Address - Street 1:7121 STEPHANIE LN
Practice Address - Street 2:SUITE 108
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5359
Practice Address - Country:US
Practice Address - Phone:402-328-2660
Practice Address - Fax:402-328-2657
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1627111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor