Ackerman, Bruce Irwin
Ackerman, Bruce Irwin is an sole proprietor health care provider with primary practice located at 2417 Welsh Road Suite 21 #240, Philadelphia PA 19114. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ackerman, Bruce Irwin can be contacted via phone (215) 334-5700.Contact Information
Primary practice address
2417 Welsh Road Suite 21 #240
Philadelphia PA 19114
Phone: (215) 334-5700
Fax: (215) 334-5774
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC002030L | Pennsylvania |
Profile Details
NPI number | 1316945983 |
---|---|
LBN Legal business name | Ackerman, Bruce Irwin |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 8th, 2005 |
Last updated | Nov 9th, 2021 - about 3 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 | 1316945983 | NPPES |
Pennsylvania | Other | 5677430 | AETNA INSURANCE ID# |
Pennsylvania | MEDICAID | SC002030L15493 | AETNA INSURANCE ID# |
Pennsylvania | MEDICAID | 0054016601 | AETNA INSURANCE ID# |
Pennsylvania | Other | 0060614000 | AETNA INSURANCE ID# |
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