Ackerman, Robert

Ackerman, Robert is an sole proprietor health care provider with primary practice located at 10200 W Emerald St Suite 105, Boise ID 83704-8900. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ackerman, Robert can be contacted via phone (208) 376-7954.

Contact Information

Primary practice address
10200 W Emerald St Suite 105 Boise ID 83704-8900
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3088 Idaho

Profile Details

NPI number 1003973850
LBN Legal business name Ackerman, Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Jul 5th, 2023 - about 2 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 1003973850 NPPES
Idaho Other 82-0499472 TAX ID #
Idaho Other 3088 TAX ID #

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