Winnett, Archie R.

Winnett, Archie R. is an sole proprietor health care provider with primary practice located at 3216 Emerald Ln Suite A, Jefferson City MO 65109-6947. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Winnett, Archie R. can be contacted via phone (573) 636-6400.

Contact Information

Primary practice address
3216 Emerald Ln Suite A Jefferson City MO 65109-6947
Phone: (573) 636-6400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 2009035745 Missouri

Profile Details

NPI number 1609143189
LBN Legal business name Winnett, Archie R.
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2011
Last updated Mar 8th, 2013 - about 11 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 1609143189 NPPES
Missouri Other 2009035745 STATE LICENSE NUMBER

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