Ackell, Adele Barbara

Ackell, Adele Barbara is an individual health care provider with primary practice located at 721 Glenwood Dr Ste 467-West, Chattanooga TN 37404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Ackell, Adele Barbara can be contacted via phone (423) 698-3423.

Contact Information

Primary practice address
721 Glenwood Dr Ste 467-West Chattanooga TN 37404
Fax: (423) 698-1380
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD0000019561 Tennessee
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 029998 Georgia

Profile Details

NPI number 1770510190
LBN Legal business name Ackell, Adele Barbara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jun 20th, 2008 - about 16 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 1770510190 NPPES
Tennessee MEDICAID 3044957
Tennessee MEDICAID 00398835A

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