Ackerman, Brian
Ackerman, Brian is an sole proprietor health care provider with primary practice located at 154 Waterman St Suite 16, Providence RI 02906-3116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ackerman, Brian can be contacted via phone (401) 500-5638.Contact Information
Primary practice address
154 Waterman St Suite 16
Providence RI 02906-3116
Phone: (401) 500-5638
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD14932 | Rhode Island |
Profile Details
| NPI number | 1235517913 |
|---|---|
| LBN Legal business name | Ackerman, Brian |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2015 |
| Last updated | Aug 6th, 2015 - about 9 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 | 1235517913 | NPPES |
| Rhode Island | Other | MD14932 | RHODE ISLAND MEDICAL LICENSE |
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