Acker, Herbert K.J.

Acker, Herbert K.J. is an individual health care provider with primary practice located at 3534 Brooklyn Ave , Fort Wayne IN 46809-1361. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Acker, Herbert K.J. can be contacted via phone (260) 478-5100.

Contact Information

Primary practice address
3534 Brooklyn Ave Fort Wayne IN 46809-1361
Phone: (260) 478-5100
Fax: (260) 478-5213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 01020628A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01020628A Indiana

Profile Details

NPI number 1659362200
LBN Legal business name Acker, Herbert K.J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Sep 23rd, 2020 - about 4 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 1659362200 NPPES
Indiana MEDICAID 100318010

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