Acklin, Jimmy David

Acklin, Jimmy David is an individual health care provider with primary practice located at 612 S 12Th St , Fort Smith AR 72901-4702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Acklin, Jimmy David can be contacted via phone (479) 785-2431.

Contact Information

Primary practice address
612 S 12Th St Fort Smith AR 72901-4702
Phone: (479) 785-2431
Fax: (479) 494-7787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-6363 Arkansas

Profile Details

NPI number 1356345052
LBN Legal business name Acklin, Jimmy David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Mar 7th, 2023 - about 2 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 1356345052 NPPES
Other 4627033 AETNA
Other 13803000000 AETNA
Other 50026 AETNA
Other 6019495001 AETNA
Other 913056000 AETNA
Other 080072068 AETNA
Other 100267820A AETNA
MEDICAID 100071990A AETNA
MEDICAID 05508082 AETNA
Other 077391301 AETNA
MEDICAID 110763001 AETNA
MEDICAID 1632163 AETNA
Other 1899432 AETNA

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