Archer, Dewey Dale
Archer, Dewey Dale is an sole proprietor health care provider with primary practice located at 2829 4Th Ave 150, Lake Charles LA 70601-7887. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Archer, Dewey Dale can be contacted via phone (337) 477-7091.Contact Information
Primary practice address
2829 4Th Ave 150
Lake Charles LA 70601-7887
Phone: (337) 477-7091
Fax: (337) 474-4552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 018012 | Louisiana |
Profile Details
| NPI number | 1568529576 |
|---|---|
| LBN Legal business name | Archer, Dewey Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Mar 28th, 2012 - about 12 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 | 1568529576 | NPPES |
| Louisiana | MEDICAID | 1372994 |
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