Archer, Michael Alan

Archer, Michael Alan is an sole proprietor health care provider with primary practice located at 907 Mar Walt Dr Suite 2012, Fort Walton Beach FL 32547-6960. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Archer, Michael Alan can be contacted via phone (850) 863-1447.

Contact Information

Primary practice address
907 Mar Walt Dr Suite 2012 Fort Walton Beach FL 32547-6960
Phone: (850) 863-1447
Fax: (850) 863-5350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME-0038568 Florida

Profile Details

NPI number 1902950108
LBN Legal business name Archer, Michael Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
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 1902950108 NPPES
Florida Other 04056 INSURANCE PROVIDER NUMBER

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