Archer, Sandra M

Archer, Sandra M is an individual health care provider with primary practice located at 9800 Troup Avenue , Kansas City KS 66111-1870. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Archer, Sandra M can be contacted via phone (913) 297-7472.

Contact Information

Primary practice address
9800 Troup Avenue Kansas City KS 66111-1870
Phone: (913) 297-7472
Fax: (913) 788-5878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2004019667 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0432534 Kansas

Profile Details

NPI number 1255325973
LBN Legal business name Archer, Sandra M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated May 3rd, 2024 - about 2 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 1255325973 NPPES
Other 38584011 BCBSKC
Other 463377 BCBSKC
Other P00410909 BCBSKC

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