Archambeau, Lurley John
Archambeau, Lurley John is an sole proprietor health care provider with primary practice located at 6450 Weatherfield Ct Suite 1B, Maumee OH 43537-9146. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Archambeau, Lurley John can be contacted via phone (419) 866-2830.Contact Information
Primary practice address
6450 Weatherfield Ct Suite 1B
Maumee OH 43537-9146
Phone: (419) 866-2830
Fax: (419) 866-2831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35999 | Ohio |
Profile Details
| NPI number | 1376529768 |
|---|---|
| LBN Legal business name | Archambeau, Lurley John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Nov 10th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376529768 | NPPES |
| Ohio | MEDICAID | 0275330 |
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