Archer, Marilyn H

Archer, Marilyn H is an individual health care provider with primary practice located at 316 2Nd Ave W , Williston ND 58801-5218. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Archer, Marilyn H can be contacted via phone (701) 774-4600.

Contact Information

Primary practice address
316 2Nd Ave W Williston ND 58801-5218
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1508085010
LBN Legal business name Archer, Marilyn H
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508085010 NPPES
North Dakota MEDICAID 54516

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