Perry, Archie Charles

Perry, Archie Charles is an individual health care provider with primary practice located at 2800 E Desert Inn Rd Ste 100 , Las Vegas NV 89121-3609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Perry, Archie Charles can be contacted via phone (702) 731-1616.

Contact Information

Primary practice address
2800 E Desert Inn Rd Ste 100 Las Vegas NV 89121-3609
Phone: (702) 731-1616
Fax: (702) 734-4900
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 42033 Nevada

Profile Details

NPI number 1245218510
LBN Legal business name Perry, Archie Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Oct 11th, 2018 - about 7 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 1245218510 NPPES
Other CC6778 BXBS
Other 7499443 BXBS
MEDICAID 1245218510 BXBS
Other P00142405 BXBS

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