Archer-Goode, Corlis L.

Archer-Goode, Corlis L. is an individual health care provider with primary practice located at 1 Lake St Bldg B2Nd, New Britain CT 06052-1396. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Archer-Goode, Corlis L. can be contacted via phone (860) 826-4453.

Contact Information

Primary practice address
1 Lake St Bldg B2Nd New Britain CT 06052-1396
Phone: (860) 826-4453
Fax: (860) 826-6219
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 038810 Connecticut

Profile Details

NPI number 1437152360
LBN Legal business name Archer-Goode, Corlis L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 9th, 2007 - about 19 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 1437152360 NPPES
Connecticut Other 1255448155 GHMC GROUP NPI
Connecticut Other O2096535 GHMC GROUP NPI
Connecticut Other 01038810 GHMC GROUP NPI
Connecticut Other 00138810CT01 GHMC GROUP NPI
Connecticut Other 0V7374 GHMC GROUP NPI
Connecticut Other 2355107 GHMC GROUP NPI

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