Ackerman, Kathleen Cantwell

Ackerman, Kathleen Cantwell is an individual health care provider with primary practice located at 610 E Diamond Ave 100A, Gaithersburg MD 20877-5321. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychosomatic Medicine, which is considered as her primary health care specialty. Ackerman, Kathleen Cantwell can be contacted via phone (301) 840-3200.

Contact Information

Primary practice address
610 E Diamond Ave 100A Gaithersburg MD 20877-5321
Phone: (301) 840-3200
Fax: (301) 840-1348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X D0027555 Maryland

Profile Details

NPI number 1730309501
LBN Legal business name Ackerman, Kathleen Cantwell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated May 22nd, 2012 - about 13 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 1730309501 NPPES
Maryland MEDICAID 816700100

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