Ackerman, Scot N

Ackerman, Scot N is an sole proprietor health care provider with primary practice located at 10881 San Jose Blvd , Jacksonville FL 32223-6612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Ackerman, Scot N can be contacted via phone (904) 880-5522.

Contact Information

Primary practice address
10881 San Jose Blvd Jacksonville FL 32223-6612
Phone: (904) 880-5522
Fax: (904) 880-5533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME52956 Florida

Profile Details

NPI number 1942205364
LBN Legal business name Ackerman, Scot N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2005
Last updated Jul 13th, 2023 - about 2 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 1942205364 NPPES
Georgia MEDICAID 00457553A
Georgia Other 3602303
Georgia Other 4000116
Georgia Other 140375200
Georgia Other 206922
Georgia Other 28751
Georgia MEDICAID 379520900
Georgia Other 08427
Georgia Other 300019643

Popular Providers