Archer, Joseph C

Archer, Joseph C is an individual health care provider with primary practice located at 105 S Willow Ave , Cookeville TN 38501-3138. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Archer, Joseph C can be contacted via phone (931) 526-9518.

Contact Information

Primary practice address
105 S Willow Ave Cookeville TN 38501-3138
Phone: (931) 526-9518
Fax: (931) 372-0087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN0127285 Tennessee

Profile Details

NPI number 1033105713
LBN Legal business name Archer, Joseph C
Credentials ANP C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated May 14th, 2012 - about 13 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 1033105713 NPPES
Tennessee MEDICAID 3909546

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