Archer, Willis Arthur

Archer, Willis Arthur is an individual health care provider with primary practice located at 141 Tryon Road Suite A, Rutherfordton NC 28139-3036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Archer, Willis Arthur can be contacted via phone (828) 286-9049.

Contact Information

Primary practice address
141 Tryon Road Suite A Rutherfordton NC 28139-3036
Phone: (828) 286-9049
Fax: (828) 286-5596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15011 North Carolina

Profile Details

NPI number 1760491690
LBN Legal business name Archer, Willis Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1760491690 NPPES
North Carolina MEDICAID 8911701
North Carolina Other 11701

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