Ackerman, Alice Jody

Ackerman, Alice Jody is an individual health care provider with primary practice located at 1 Healthcare Dr Mansfield Hill, Philippi WV 26416. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Ackerman, Alice Jody can be contacted via phone (304) 457-1760.

Contact Information

Primary practice address
1 Healthcare Dr Mansfield Hill Philippi WV 26416
Phone: (304) 457-1760
Fax: (304) 457-3781
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2159 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 05-009868-L Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2159 West Virginia

Profile Details

NPI number 1730151010
LBN Legal business name Ackerman, Alice Jody
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Apr 1st, 2020 - about 5 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 1730151010 NPPES
West Virginia Other 001817913 MOUNTAIN STATE BCS
West Virginia Other P00375987 MOUNTAIN STATE BCS
West Virginia MEDICAID 001782911 (00008) MOUNTAIN STATE BCS
West Virginia MEDICAID 3810004790 MOUNTAIN STATE BCS
West Virginia Other WV02159A MOUNTAIN STATE BCS

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