Pender, Archie

Pender, Archie is an individual health care provider with primary practice located at 3709 Nash St Nw , Wilson NC 27896-1127. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Pender, Archie can be contacted via phone (252) 206-5799.

Contact Information

Primary practice address
3709 Nash St Nw Wilson NC 27896-1127
Phone: (252) 206-5799
Fax: (252) 206-5778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-21378 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X P010209 North Carolina

Profile Details

NPI number 1790113454
LBN Legal business name Pender, Archie
Credentials LCAS-A
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2013
Last updated Jun 25th, 2019 - about 5 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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