Archer, Thomas

Archer, Thomas is an sole proprietor health care provider with primary practice located at 2300 Randolph Rd Ste B , Charlotte NC 28207-1586. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Archer, Thomas can be contacted via phone (704) 968-4633.

Contact Information

Primary practice address
2300 Randolph Rd Ste B Charlotte NC 28207-1586
Phone: (704) 968-4633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 14327 North Carolina

Profile Details

NPI number 1275106635
LBN Legal business name Archer, Thomas
Credentials LMBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2021
Last updated Jul 22nd, 2021 - about 4 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 1275106635 NPPES
North Carolina Other 47-5081821 PRIVATE INSURANCE

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