Archie, Douglas John
Archie, Douglas John is an sole proprietor health care provider with primary practice located at 1481 W 10Th St , Indianapolis IN 46202-2803. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Archie, Douglas John can be contacted via phone (803) 567-1206.Contact Information
Primary practice address
1481 W 10Th St
Indianapolis IN 46202-2803
Phone: (803) 567-1206
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X |
Profile Details
| NPI number | 1073958369 |
|---|---|
| LBN Legal business name | Archie, Douglas John |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2013 |
| Last updated | Oct 19th, 2021 - about 3 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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