Archer, Ann Gray
Archer, Ann Gray is an individual health care provider with primary practice located at 3330 Nw 56Th Suite 206, Oklahoma City OK 73112-4426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Archer, Ann Gray can be contacted via phone (405) 945-4710.Contact Information
Primary practice address
3330 Nw 56Th Suite 206
Oklahoma City OK 73112-4426
Phone: (405) 945-4710
Fax: (405) 265-6308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 23776 | Oklahoma |
Profile Details
| NPI number | 1396713624 |
|---|---|
| LBN Legal business name | Archer, Ann Gray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2006 |
| Last updated | Aug 3rd, 2010 - about 15 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 | 1396713624 | NPPES |
| Oklahoma | Other | P00704890 | MEDICARE RAILROAD |
| Oklahoma | MEDICAID | 200022970A | MEDICARE RAILROAD |
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