Archer, Ayana Matokah
Archer, Ayana Matokah is an sole proprietor health care provider with primary practice located at 1420 Se 41St Ave , Gainesville FL 32641-9261. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Archer, Ayana Matokah can be contacted via phone (352) 871-5552.Contact Information
Primary practice address
1420 Se 41St Ave
Gainesville FL 32641-9261
Phone: (352) 871-5552
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1689101305 |
|---|---|
| LBN Legal business name | Archer, Ayana Matokah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2017 |
| Last updated | May 12th, 2017 - about 9 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 | 1689101305 | NPPES |
| Florida | MEDICAID | 012801400 |
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