Baskerville, Archer Lewis

Baskerville, Archer Lewis is an individual health care provider with primary practice located at 8243 Meadowbridge Rd , Mechanicsville VA 23116-2329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Baskerville, Archer Lewis can be contacted via phone (804) 730-1481.

Contact Information

Primary practice address
8243 Meadowbridge Rd Mechanicsville VA 23116-2329
Phone: (804) 730-1481
Fax: (804) 730-8464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101029908 Virginia

Profile Details

NPI number 1285611335
LBN Legal business name Baskerville, Archer Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Oct 11th, 2011 - about 13 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 1285611335 NPPES
Virginia MEDICAID 006093582
Virginia Other C06115

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