Archie, Lori L

Archie, Lori L is an individual health care provider with primary practice located at 2478 Patterson Rd , Grand Junction CO 81505-3605. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Archie, Lori L can be contacted via phone (970) 241-7950.

Contact Information

Primary practice address
2478 Patterson Rd Grand Junction CO 81505-3605
Phone: (970) 241-7950
Fax: (970) 241-7951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1710072681
LBN Legal business name Archie, Lori L
Credentials AU.D., FAAA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jan 27th, 2021 - about 4 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 1710072681 NPPES
Colorado Other 558385YVKX MEDICARE
Colorado MEDICAID 84139972101 MEDICARE
Colorado MEDICAID 1047043.00 MEDICARE

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