Ackerley, Gary D
Ackerley, Gary D is an sole proprietor health care provider with primary practice located at 6465 Reflections Dr Suite 110, Dublin OH 43017-2355. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ackerley, Gary D can be contacted via phone (614) 792-1108.Contact Information
Primary practice address
6465 Reflections Dr Suite 110
Dublin OH 43017-2355
Phone: (614) 792-1108
Fax: (614) 792-0018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2853 | Ohio |
Profile Details
| NPI number | 1679584536 |
|---|---|
| LBN Legal business name | Ackerley, Gary D |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1679584536 | NPPES |
| Ohio | MEDICAID | 0502549 |
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