Archibald, Oliver P

Archibald, Oliver P is an individual health care provider with primary practice located at 2807 Grand Ave , Baldwin NY 11510-4033. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Archibald, Oliver P can be contacted via phone (865) 207-8238.

Contact Information

Primary practice address
2807 Grand Ave Baldwin NY 11510-4033
Phone: (865) 207-8238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 44390 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME75799 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 289251 New York

Profile Details

NPI number 1174508105
LBN Legal business name Archibald, Oliver P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Nov 11th, 2023 - about last year

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 1174508105 NPPES
Florida MEDICAID 255856400
Florida Other 44725
Florida Other 59068423
Florida Other 7558225

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