Archer, Cynthia L

Archer, Cynthia L is an individual health care provider with primary practice located at 1335 Arena Rd Unit 1 , Jackson WY 83001-8919. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Archer, Cynthia L can be contacted via phone (602) 697-7790.

Contact Information

Primary practice address
1335 Arena Rd Unit 1 Jackson WY 83001-8919
Phone: (602) 697-7790
Fax: (602) 697-7790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 8583747-1205 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0055895 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 14098 Nevada
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31998 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9430A Wyoming

Profile Details

NPI number 1275629024
LBN Legal business name Archer, Cynthia L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 21st, 2022 - about 4 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 1275629024 NPPES
Arizona Other AZ0784730 BCBS
Arizona MEDICAID 948680 BCBS

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