Archer, Scott

Archer, Scott is an individual health care provider with primary practice located at 22200 Foxridge Rd , Little Rock AR 72223-6001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Archer, Scott can be contacted via phone (501) 821-9967.

Contact Information

Primary practice address
22200 Foxridge Rd Little Rock AR 72223-6001
Phone: (501) 821-9967
Fax: (501) 821-9968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C7452 Arkansas

Profile Details

NPI number 1396783106
LBN Legal business name Archer, Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 29th, 2009 - about 17 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 1396783106 NPPES
Arkansas Other 52843 BCBS
Arkansas MEDICAID 115587001 BCBS

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