Archibald, David Jonas
Archibald, David Jonas is an individual health care provider with primary practice located at 2352 Meadows Blvd Suite 290, Castle Rock CO 80109-8406. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Archibald, David Jonas can be contacted via phone (303) 268-2222.Contact Information
Primary practice address
2352 Meadows Blvd Suite 290
Castle Rock CO 80109-8406
Phone: (303) 268-2222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 49658 | Minnesota |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME103522 | Florida |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD60286714 | Washington |
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | MD60286714 | Washington |
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | DR.0053492 | Colorado |
Profile Details
| NPI number | 1104041326 |
|---|---|
| LBN Legal business name | Archibald, David Jonas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2007 |
| Last updated | Dec 4th, 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 | 1104041326 | NPPES |
| Minnesota | MEDICAID | 205455000 | |
| Minnesota | Other | 14F11 | |
| Minnesota | MEDICAID | 003610900 | |
| Minnesota | MEDICAID | 32778856 |
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