Ackermann, Jeremy James
Ackermann, Jeremy James is an sole proprietor health care provider with primary practice located at 2061 Hwy 52 , Moncks Corner SC 29461-0995. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ackermann, Jeremy James can be contacted via phone (843) 761-8800.Contact Information
Primary practice address
2061 Hwy 52
Moncks Corner SC 29461-0995
Phone: (843) 761-8800
Fax: (843) 761-8824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 976 | South Carolina |
Profile Details
| NPI number | 1417983982 |
|---|---|
| LBN Legal business name | Ackermann, Jeremy James |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2006 |
| Last updated | May 25th, 2022 - 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 | 1417983982 | NPPES |
| South Carolina | MEDICAID | 009760 | |
| South Carolina | Other | 080172610 |
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