Archdeacon, Michael T

Archdeacon, Michael T is an individual health care provider with primary practice located at 222 Piedmont Ave Suite 2200, Cincinnati OH 45219-4231. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Archdeacon, Michael T can be contacted via phone (513) 475-8690.

Contact Information

Primary practice address
222 Piedmont Ave Suite 2200 Cincinnati OH 45219-4231
Phone: (513) 475-8690
Fax: (513) 475-7243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 35069283A Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35069283A Ohio

Profile Details

NPI number 1699723247
LBN Legal business name Archdeacon, Michael T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Nov 22nd, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699723247 NPPES
Indiana MEDICAID 200321580
Indiana Other 200041359
Indiana MEDICAID 2246920
Indiana MEDICAID 64035629

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