Ackiss, John D
Ackiss, John D is an individual health care provider with primary practice located at 4020 Raintree Rd Suite D, Chesapeake VA 23321-3749. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ackiss, John D can be contacted via phone (757) 484-4241.Contact Information
Primary practice address
4020 Raintree Rd Suite D
Chesapeake VA 23321-3749
Phone: (757) 484-4241
Fax: (757) 484-4487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305004384 | Virginia |
Profile Details
| NPI number | 1467439737 |
|---|---|
| LBN Legal business name | Ackiss, John D |
| Credentials | PT,DPT, MS,OCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Apr 27th, 2016 - about 10 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 | 1467439737 | NPPES |
| Virginia | Other | 5039662 | AETNA |
| Virginia | Other | P00814677 | AETNA |
| Virginia | MEDICAID | 1467439737 | AETNA |
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