Archey, Patricia Marie

Archey, Patricia Marie is an individual health care provider with primary practice located at 93 Avon Ave , Bloomsburg PA 17815. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Archey, Patricia Marie can be contacted via phone (570) 690-3436.

Contact Information

Primary practice address
93 Avon Ave Bloomsburg PA 17815
Phone: (570) 690-3436
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA003166 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA056565 Pennsylvania

Profile Details

NPI number 1124457551
LBN Legal business name Archey, Patricia Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2013
Last updated Jul 26th, 2018 - about 7 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 1124457551 NPPES
Pennsylvania MEDICAID 103166695

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