Ackerman, Mark Frederick

Ackerman, Mark Frederick is an individual health care provider with primary practice located at 1055 Riverside Ave , Orofino ID 83544-9029. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ackerman, Mark Frederick can be contacted via phone (208) 476-4555.

Contact Information

Primary practice address
1055 Riverside Ave Orofino ID 83544-9029
Phone: (208) 476-4555
Fax: (208) 476-5385
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-392 Idaho

Profile Details

NPI number 1710093612
LBN Legal business name Ackerman, Mark Frederick
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 19th, 2024 - 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.

Request for update

Popular Providers