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Contact Information

THOMAS E ARCHIE JR, MD
1450 AVIATION DR
SUITE 100
HAILEY, ID83333-8785
 Phone: 208-788-3434
 Fax: 208-788-2025
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for THOMAS E ARCHIE JR · (Male)

NPI # 1023073897
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2006
Last updated 07/24/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M10114
  • ID Medicaid 807891600
  • ID Other P00697901 MCRR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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