Archie, Michael W
Archie, Michael W is an individual health care provider with primary practice located at 711 Wood St Ste A, Monroe LA 71201-7549. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Archie, Michael W can be contacted via phone (318) 323-8847.Contact Information
Primary practice address
711 Wood St Ste A
Monroe LA 71201-7549
Phone: (318) 323-8847
Fax: (318) 327-3410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 019190 | Louisiana |
Profile Details
| NPI number | 1871563353 |
|---|---|
| LBN Legal business name | Archie, Michael W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Dec 3rd, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871563353 | NPPES |
| Louisiana | MEDICAID | 1373745 |
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