Ackerman, Ivan Foster
Ackerman, Ivan Foster is an individual health care provider with primary practice located at 402 Noland Dr , Brandon FL 33511-5709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Ackerman, Ivan Foster can be contacted via phone (813) 655-9000.Contact Information
Primary practice address
402 Noland Dr
Brandon FL 33511-5709
Phone: (813) 655-9000
Fax: (813) 655-7344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME48711 | Florida |
Profile Details
| NPI number | 1609836089 |
|---|---|
| LBN Legal business name | Ackerman, Ivan Foster |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Dec 15th, 2009 - about 15 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 | 1609836089 | NPPES |
| Florida | MEDICAID | 047044900 |
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