Acker, Tatjana Larissa
Acker, Tatjana Larissa is an individual health care provider with primary practice located at 9000 Bailey Cove Rd Se , Huntsville AL 35802-4002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Acker, Tatjana Larissa can be contacted via phone (256) 428-4900.Contact Information
Primary practice address
9000 Bailey Cove Rd Se
Huntsville AL 35802-4002
Phone: (256) 428-4900
Fax: (256) 428-4912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.501 | Alabama |
Profile Details
| NPI number | 1821161696 |
|---|---|
| LBN Legal business name | Acker, Tatjana Larissa |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jan 16th, 2017 - about 8 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 | 1821161696 | NPPES |
| Alabama | Other | 51151377 | BCBS |
| Alabama | MEDICAID | 163234 | BCBS |
| Alabama | Other | 51151378 | BCBS |
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