Ackerman, Gila Ethel
Ackerman, Gila Ethel is an sole proprietor health care provider with primary practice located at 2727 Pine Street , Boulder CO 80302. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Ackerman, Gila Ethel can be contacted via phone (720) 295-2456.Contact Information
Primary practice address
2727 Pine Street
Boulder CO 80302
Phone: (720) 295-2456
Fax: (303) 459-6585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 41993 | Colorado |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 41993 | Colorado |
Profile Details
| NPI number | 1093884405 |
|---|---|
| LBN Legal business name | Ackerman, Gila Ethel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Dec 1st, 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 | 1093884405 | NPPES |
| Colorado | Other | 41993 | STATE LICENSE |
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