Hamm, Archy D
Hamm, Archy D is an sole proprietor health care provider with primary practice located at 920 S. Vulture Mine Road Special Service Office, Wickenburg AZ 85390. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Hamm, Archy D can be contacted via phone (928) 684-6714.Contact Information
Primary practice address
920 S. Vulture Mine Road Special Service Office
Wickenburg AZ 85390
Phone: (928) 684-6714
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | Arizona |
Profile Details
| NPI number | 1194859090 |
|---|---|
| LBN Legal business name | Hamm, Archy D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jul 26th, 2007 - about 17 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 | 1194859090 | NPPES |
| Arizona | Other | 103141 | AHCCCS PROVIDER NUMBER |
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