Archer-Colella, Jean

Archer-Colella, Jean is an individual health care provider with primary practice located at 111 Clara Barton St , Dansville NY 14437-9503. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Archer-Colella, Jean can be contacted via phone (585) 335-9360.

Contact Information

Primary practice address
111 Clara Barton St Dansville NY 14437-9503
Fax: (585) 335-9436
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005326 New York

Profile Details

NPI number 1225086846
LBN Legal business name Archer-Colella, Jean
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated May 27th, 2020 - about 5 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 1225086846 NPPES
New York MEDICAID 01957006

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