Roberts, Archimore
Roberts, Archimore is an sole proprietor health care provider with primary practice located at 61 Ogden Ct , Smyrna DE 19977-3910. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as his primary health care specialty. Roberts, Archimore can be contacted via phone (302) 573-1231.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | Delaware |
Profile Details
| NPI number | 1952908683 |
|---|---|
| LBN Legal business name | Roberts, Archimore |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2020 |
| Last updated | Oct 6th, 2020 - about 4 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 | 1952908683 | NPPES |
| Delaware | MEDICAID | 000000542 |
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