Archer, Michelle

Archer, Michelle is an sole proprietor health care provider with primary practice located at 2115 Westpark Drive , Lorain OH 44053. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Archer, Michelle can be contacted via phone (440) 989-4987.

Contact Information

Primary practice address
2115 Westpark Drive Lorain OH 44053
Fax: (440) 282-4779
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-0010078 Ohio

Profile Details

NPI number 1194868547
LBN Legal business name Archer, Michelle
Credentials L.I.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 7th, 2016 - about 8 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 1194868547 NPPES
Ohio Other I.0010078-SUPV LICENSE

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