Ackermann, Mark A
Ackermann, Mark A is an sole proprietor health care provider with primary practice located at 330 Loretto Rd Ste 500A , Lebanon KY 40033-1308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ackermann, Mark A can be contacted via phone (270) 699-2229.Contact Information
Primary practice address
330 Loretto Rd Ste 500A
Lebanon KY 40033-1308
Phone: (270) 699-2229
Fax: (270) 699-9740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 32261 | Kentucky |
Profile Details
| NPI number | 1104932466 |
|---|---|
| LBN Legal business name | Ackermann, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104932466 | NPPES |
| Kentucky | MEDICAID | 64319973 |
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