Provider Demographics
NPI:1770619330
Name:ARCHER, SEAN ERIC (PAC)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:ERIC
Last Name:ARCHER
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:254 MORAINE POINTE PLAZA
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001
Mailing Address - Country:US
Mailing Address - Phone:724-283-5437
Mailing Address - Fax:724-285-5437
Practice Address - Street 1:254 MORAINE POINTE PLZ
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2412
Practice Address - Country:US
Practice Address - Phone:724-283-5437
Practice Address - Fax:724-285-5437
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA003089L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant