Ackermann, Richard
Ackermann, Richard is an individual health care provider with primary practice located at 3780 Eisenhower Pkwy , Macon GA 31206-0800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Ackermann, Richard can be contacted via phone (478) 633-5500.Contact Information
Primary practice address
3780 Eisenhower Pkwy
Macon GA 31206-0800
Phone: (478) 633-5500
Fax: (478) 784-3550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 034759 | Georgia |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 034759 | Georgia |
Profile Details
| NPI number | 1467428128 |
|---|---|
| LBN Legal business name | Ackermann, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Sep 13th, 2019 - about 7 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 | 1467428128 | NPPES |
| Georgia | MEDICAID | 000478035H | |
| Georgia | MEDICAID | 000478035I |
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