Ackerman, Joel David
Ackerman, Joel David is an individual health care provider with primary practice located at 200 Ne Mission Road , Lees Summit MO 64086-6408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Ackerman, Joel David can be contacted via phone (913) 428-2900.Contact Information
Primary practice address
200 Ne Mission Road
Lees Summit MO 64086-6408
Phone: (913) 428-2900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 46649 | Minnesota |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 0432870 | Kansas |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 2008002387 | Missouri |
Profile Details
NPI number | 1467438010 |
---|---|
LBN Legal business name | Ackerman, Joel David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 15th, 2005 |
Last updated | Nov 20th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467438010 | NPPES |
Minnesota | MEDICAID | 450062800 | |
Minnesota | MEDICAID | 204926802 |
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