Archer, Gayle

Archer, Gayle is an sole proprietor health care provider with primary practice located at 2323 Students Home Rd , Smithville TN 37166-7736. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Archer, Gayle can be contacted via phone (615) 215-8033.

Contact Information

Primary practice address
2323 Students Home Rd Smithville TN 37166-7736
Fax: (615) 215-8033
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 1000000006161 Tennessee

Profile Details

NPI number 1487969879
LBN Legal business name Archer, Gayle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2010
Last updated Aug 10th, 2010 - about 16 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 1487969879 NPPES
Tennessee MEDICAID H445428

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