Archambault, Jacques M

Archambault, Jacques M is an individual health care provider with primary practice located at 260 Crest Road Suite 203, St Albans VT 05478. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Archambault, Jacques M can be contacted via phone (802) 524-2663.

Contact Information

Primary practice address
260 Crest Road Suite 203 St Albans VT 05478
Phone: (802) 524-2663
Fax: (802) 524-1953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0420007823 Vermont

Profile Details

NPI number 1871543090
LBN Legal business name Archambault, Jacques M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871543090 NPPES
Vermont MEDICAID 0VN1987

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