Ackerman, Jack

Ackerman, Jack is an individual health care provider with primary practice located at 227 N Jackson Ave , San Jose CA 95116-1603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ackerman, Jack can be contacted via phone (408) 347-2002.

Contact Information

Primary practice address
227 N Jackson Ave San Jose CA 95116-1603
Phone: (408) 347-2002
Fax: (408) 347-2189
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20A6210 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 20A6210 California

Profile Details

NPI number 1780794107
LBN Legal business name Ackerman, Jack
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 9th, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780794107 NPPES
California MEDICAID 00AX62100

Popular Providers