Archer-Goode, Corlis L.
Archer-Goode, Corlis L. is an individual health care provider with primary practice located at 1 Lake St Bldg B2Nd, New Britain CT 06052-1396. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Archer-Goode, Corlis L. can be contacted via phone (860) 826-4453.Contact Information
Primary practice address
1 Lake St Bldg B2Nd
New Britain CT 06052-1396
Phone: (860) 826-4453
Fax: (860) 826-6219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 038810 | Connecticut |
Profile Details
| NPI number | 1437152360 |
|---|---|
| LBN Legal business name | Archer-Goode, Corlis L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1437152360 | NPPES |
| Connecticut | Other | 1255448155 | GHMC GROUP NPI |
| Connecticut | Other | O2096535 | GHMC GROUP NPI |
| Connecticut | Other | 01038810 | GHMC GROUP NPI |
| Connecticut | Other | 00138810CT01 | GHMC GROUP NPI |
| Connecticut | Other | 0V7374 | GHMC GROUP NPI |
| Connecticut | Other | 2355107 | GHMC GROUP NPI |
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