Smith, Archie Dan
Smith, Archie Dan is an individual health care provider with primary practice located at 1215 Red River , Austin TX 78701-1921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Smith, Archie Dan can be contacted via phone (512) 479-3526.Contact Information
Primary practice address
1215 Red River
Austin TX 78701-1921
Phone: (512) 479-3526
Fax: (512) 474-2720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | E8916 | Texas |
Profile Details
| NPI number | 1396887691 |
|---|---|
| LBN Legal business name | Smith, Archie Dan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Oct 10th, 2007 - about 18 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 | 1396887691 | NPPES |
| Other | E8916 | COMMERCIAL - LICENSE | |
| Other | 000B56J | COMMERCIAL - LICENSE |
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