Ackerman, Riddick

Ackerman, Riddick is an individual health care provider with primary practice located at 400 Constance St , Walterboro SC 29488-2710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ackerman, Riddick can be contacted via phone (843) 549-9568.

Contact Information

Primary practice address
400 Constance St Walterboro SC 29488-2710
Phone: (843) 549-9568
Fax: (843) 549-1530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 11469 South Carolina

Profile Details

NPI number 1104867183
LBN Legal business name Ackerman, Riddick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1104867183 NPPES
South Carolina MEDICAID 114691

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