Archer, Andrew L

Archer, Andrew L is an individual health care provider with primary practice located at 7700 Washington Village Dr Ste 130 , Centerville OH 45459-4094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Archer, Andrew L can be contacted via phone (937) 531-0195.

Contact Information

Primary practice address
7700 Washington Village Dr Ste 130 Centerville OH 45459-4094
Fax: (937) 531-0196
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34006981A Ohio

Profile Details

NPI number 1336142603
LBN Legal business name Archer, Andrew L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Apr 6th, 2022 - about 3 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 1336142603 NPPES
Ohio MEDICAID 2319217
Ohio Other 98259
Ohio Other D06981
Ohio Other 34006981A
Ohio Other 3805308
Ohio Other 1702273
Ohio Other 421534506
Ohio Other P00133425
Ohio Other 445020003
Ohio Other 7582436
Ohio Other 220226702
Ohio Other 000000334026

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