Archibald, Laura Kooistra

Archibald, Laura Kooistra is an individual health care provider with primary practice located at 415 S Landmark Ave , Bloomington IN 47403-5003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Archibald, Laura Kooistra can be contacted via phone (812) 333-7433.

Contact Information

Primary practice address
415 S Landmark Ave Bloomington IN 47403-5003
Phone: (812) 333-7433
Fax: (812) 333-7435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 01092483A Indiana
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01092483A Indiana

Profile Details

NPI number 1790348472
LBN Legal business name Archibald, Laura Kooistra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2019
Last updated Jul 15th, 2024 - about 5 months 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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