Ackermann, Michael D

Ackermann, Michael D is an sole proprietor health care provider with primary practice located at 117 W Center St , Lake City MN 55041. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ackermann, Michael D can be contacted via phone (651) 345-3039.

Contact Information

Primary practice address
117 W Center St Lake City MN 55041
Phone: (651) 345-3039
Fax: (651) 345-3506
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2672 Minnesota

Profile Details

NPI number 1063441830
LBN Legal business name Ackermann, Michael D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2006
Last updated Feb 26th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063441830 NPPES
Minnesota MEDICAID 455515500
Minnesota Other 80G78AC

Popular Providers