Tildon-Archer, Donna
Tildon-Archer, Donna is an individual health care provider with primary practice located at 1701 N George Mason Dr , Arlington VA 22205-3610. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Tildon-Archer, Donna can be contacted via phone (703) 289-1400.Contact Information
Primary practice address
1701 N George Mason Dr
Arlington VA 22205-3610
Phone: (703) 289-1400
Fax: (703) 289-1414
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 0101045326 | Virginia |
Profile Details
NPI number | 1760499248 |
---|---|
LBN Legal business name | Tildon-Archer, Donna |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 1st, 2006 |
Last updated | Jul 8th, 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 | 1760499248 | NPPES |
Virginia | MEDICAID | 6709427 |
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