Ackerman, Ellen Marie

Ackerman, Ellen Marie is an individual health care provider with primary practice located at 235 W 6Th St , Reno NV 89503-4548. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Ackerman, Ellen Marie can be contacted via phone (775) 770-6490.

Contact Information

Primary practice address
235 W 6Th St Reno NV 89503-4548
Phone: (775) 770-6490
Fax: (775) 770-3944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X PA963 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA963 Nevada

Profile Details

NPI number 1538179775
LBN Legal business name Ackerman, Ellen Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Apr 5th, 2016 - about 10 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 1538179775 NPPES
Nevada MEDICAID Q73043
Nevada Other 1538179775

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