Ackermann, Michael D
Ackermann, Michael D is an sole proprietor health care provider with primary practice located at 117 W Center St , Lake City MN 55041. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ackermann, Michael D can be contacted via phone (651) 345-3039.Contact Information
Primary practice address
117 W Center St
Lake City MN 55041
Phone: (651) 345-3039
Fax: (651) 345-3506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2672 | Minnesota |
Profile Details
| NPI number | 1063441830 |
|---|---|
| LBN Legal business name | Ackermann, Michael D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Feb 26th, 2008 - about 18 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 | 1063441830 | NPPES |
| Minnesota | MEDICAID | 455515500 | |
| Minnesota | Other | 80G78AC |
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