Archer, Jonathan M
Archer, Jonathan M is an individual health care provider with primary practice located at 730 Palisade Ave First Floor, Teaneck NJ 07666-3144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Archer, Jonathan M can be contacted via phone (201) 353-9000.Contact Information
Primary practice address
730 Palisade Ave First Floor
Teaneck NJ 07666-3144
Phone: (201) 353-9000
Fax: (201) 530-0003
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 25MA06794900 | New Jersey |
Profile Details
NPI number | 1205879525 |
---|---|
LBN Legal business name | Archer, Jonathan M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2006 |
Last updated | Mar 11th, 2024 - about 8 months 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 | 1205879525 | NPPES |
New Jersey | MEDICAID | 8105405 |
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