Archer, Dale
Archer, Dale is an individual health care provider with primary practice located at 2410 N Commerce , Ardmore OK 73401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Archer, Dale can be contacted via phone (580) 226-0812.Contact Information
Primary practice address
2410 N Commerce
Ardmore OK 73401
Phone: (580) 226-0812
Fax: (580) 226-0820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 594 | Oklahoma |
Profile Details
| NPI number | 1588688063 |
|---|---|
| LBN Legal business name | Archer, Dale |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | May 27th, 2020 - about 4 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 | 1588688063 | NPPES |
| Oklahoma | MEDICAID | 200042080A |
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