Ackerman, Glen Neil

Ackerman, Glen Neil is an individual health care provider with primary practice located at 804 Service Rd Room A217, East Lansing MI 48824-1376. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Ackerman, Glen Neil can be contacted via phone (517) 353-8122.

Contact Information

Primary practice address
804 Service Rd Room A217 East Lansing MI 48824-1376
Phone: (517) 353-8122
Fax: (517) 432-3713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301046992 Michigan

Profile Details

NPI number 1912060633
LBN Legal business name Ackerman, Glen Neil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Oct 22nd, 2018 - about 8 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 1912060633 NPPES
Michigan MEDICAID 3216856
Michigan MEDICAID 1912060633

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