Ackerman, Robert
Ackerman, Robert is an sole proprietor health care provider with primary practice located at 10200 W Emerald St Suite 105, Boise ID 83704-8900. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ackerman, Robert can be contacted via phone (208) 376-7954.Contact Information
Primary practice address
10200 W Emerald St Suite 105
Boise ID 83704-8900
Phone: (208) 376-7954
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3088 | Idaho |
Profile Details
| NPI number | 1003973850 |
|---|---|
| LBN Legal business name | Ackerman, Robert |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 5th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003973850 | NPPES |
| Idaho | Other | 82-0499472 | TAX ID # |
| Idaho | Other | 3088 | TAX ID # |
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