Archer, Michael Allen

Archer, Michael Allen is an individual health care provider with primary practice located at 750 East Adams St , Syracuse NY 13210-2306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Archer, Michael Allen can be contacted via phone (315) 464-1800.

Contact Information

Primary practice address
750 East Adams St Syracuse NY 13210-2306
Phone: (315) 464-1800
Fax: (615) 464-6238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 299359 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X OTO13171 Pennsylvania

Profile Details

NPI number 1962701094
LBN Legal business name Archer, Michael Allen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2011
Last updated Oct 24th, 2019 - about 6 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 1962701094 NPPES
New York MEDICAID 05701331

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