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:
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Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467428128 NPPES
Georgia MEDICAID 000478035H
Georgia MEDICAID 000478035I

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