Archer, Dale
Archer, Dale is an individual health care provider with primary practice located at 2410 N Commerce , Ardmore OK 73401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Archer, Dale can be contacted via phone (580) 226-0812.Contact Information
Primary practice address
2410 N Commerce
Ardmore OK 73401
Phone: (580) 226-0812
Fax: (580) 226-0820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 594 | Oklahoma |
Profile Details
| NPI number | 1588688063 |
|---|---|
| LBN Legal business name | Archer, Dale |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | May 27th, 2020 - about 5 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 | 1588688063 | NPPES |
| Oklahoma | MEDICAID | 200042080A |
Popular Providers
-
Gette, Michael T
2201 Forest Hills Dr , Harrisburg PA 17112-1089 -
Buescher, Lucinda S
751 N Rutledge St , Springfield IL 62702-4909 -
Marshall, Dee Ann
2410 N Commerce , Ardmore OK 73401 -
Biren, Catherine A
1324 Nelson Ave Ste B, Modesto CA 95350-5341 -
Mccallister, Robert Edward
6920 Parkdale Pl Ste 210, Indianapolis IN 46254-5611 -
Payne, Amy Ruth
107 Haywood Park Dr , Clyde NC 28721 -
Rosenfeld, Thomas Lee
5 Neponset St , Worcester MA 01606-2714 -
Blackhart, Bret S
640 W Moana Ln Ste 2, Reno NV 89509-4857