Archer, Sandra V
Archer, Sandra V is an individual health care provider with primary practice located at 1055 N 300 W Suite 110, Provo UT 84604-3344. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Archer, Sandra V can be contacted via phone (801) 357-7377.Contact Information
Primary practice address
1055 N 300 W Suite 110
Provo UT 84604-3344
Phone: (801) 357-7377
Fax: (801) 357-7377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | L2106 | Texas |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 7359472-1205 | Utah |
Profile Details
| NPI number | 1356319842 |
|---|---|
| LBN Legal business name | Archer, Sandra V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jul 18th, 2014 - about 12 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 | 1356319842 | NPPES |
| Utah | MEDICAID | 1356319842 | |
| Utah | MEDICAID | 145259102 |
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