Acklin, Traci Boyd
Acklin, Traci Boyd is an individual health care provider with primary practice located at 401 6Th Ave Suite 100, Montgomery WV 25136-2116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Acklin, Traci Boyd can be contacted via phone (304) 442-7427.Contact Information
Primary practice address
401 6Th Ave Suite 100
Montgomery WV 25136-2116
Phone: (304) 442-7427
Fax: (304) 442-0212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20405 | West Virginia |
Profile Details
| NPI number | 1578527107 |
|---|---|
| LBN Legal business name | Acklin, Traci Boyd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Jun 9th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578527107 | NPPES |
| West Virginia | MEDICAID | 1802460000 |
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