Ackerson, Elizabeth K

Ackerson, Elizabeth K is an individual health care provider with primary practice located at 1685 Congress Street , Portland ME 04102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ackerson, Elizabeth K can be contacted via phone (207) 774-5816.

Contact Information

Primary practice address
1685 Congress Street Portland ME 04102
Fax: (207) 774-3329
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 012073 Maine

Profile Details

NPI number 1912920117
LBN Legal business name Ackerson, Elizabeth K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 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 1912920117 NPPES
Other 010559 ANTHEM
Other 1040729 ANTHEM

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