Ackerman, Bruce Lance

Ackerman, Bruce Lance is an individual health care provider with primary practice located at 6446 Broadway Blvd , Garland TX 75043-5943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Ackerman, Bruce Lance can be contacted via phone (972) 226-0575.

Contact Information

Primary practice address
6446 Broadway Blvd Garland TX 75043-5943
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G1842 Texas

Profile Details

NPI number 1932136785
LBN Legal business name Ackerman, Bruce Lance
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated May 23rd, 2008 - about 16 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 1932136785 NPPES
Texas MEDICAID 099850201

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