Ackiss, John D

Ackiss, John D is an individual health care provider with primary practice located at 4020 Raintree Rd Suite D, Chesapeake VA 23321-3749. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ackiss, John D can be contacted via phone (757) 484-4241.

Contact Information

Primary practice address
4020 Raintree Rd Suite D Chesapeake VA 23321-3749
Phone: (757) 484-4241
Fax: (757) 484-4487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305004384 Virginia

Profile Details

NPI number 1467439737
LBN Legal business name Ackiss, John D
Credentials PT,DPT, MS,OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Apr 27th, 2016 - about 9 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 1467439737 NPPES
Virginia Other 5039662 AETNA
Virginia Other P00814677 AETNA
Virginia MEDICAID 1467439737 AETNA

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