Ackerman, Bruce M

Ackerman, Bruce M is an individual health care provider with primary practice located at 7120 Clearvista Dr Ste 2100, Indianapolis IN 46256-1621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Ackerman, Bruce M can be contacted via phone (317) 621-5676.

Contact Information

Primary practice address
7120 Clearvista Dr Ste 2100 Indianapolis IN 46256-1621
Phone: (317) 621-5676
Fax: (317) 621-5678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01043845A Indiana
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01043845 Indiana

Profile Details

NPI number 1154327633
LBN Legal business name Ackerman, Bruce M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Nov 27th, 2023 - about last year

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 1154327633 NPPES
Indiana Other P01214624 RR MEDICARE PTAN
Indiana MEDICAID 200068200A RR MEDICARE PTAN

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