Ackerly, John
Ackerly, John is an individual health care provider with primary practice located at 3838 S 700 E , Salt Lake City UT 84106-1496. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ackerly, John can be contacted via phone (801) 261-4988.Contact Information
Primary practice address
3838 S 700 E
Salt Lake City UT 84106-1496
Phone: (801) 261-4988
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 5121301-1205 | Utah |
Profile Details
| NPI number | 1841298346 |
|---|---|
| LBN Legal business name | Ackerly, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| 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 | 1841298346 | NPPES |
| Utah | MEDICAID | D5306 |
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