Ackley, Autumn Rose

Ackley, Autumn Rose is an individual health care provider with primary practice located at 6018 Sandy Springs Cir , Atlanta GA 30328-3832. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Ackley, Autumn Rose can be contacted via phone (404) 256-5194.

Contact Information

Primary practice address
6018 Sandy Springs Cir Atlanta GA 30328-3832
Phone: (404) 256-5194
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X

Profile Details

NPI number 1487243416
LBN Legal business name Ackley, Autumn Rose
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2021
Last updated Jan 14th, 2021 - about 4 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 1487243416 NPPES
Georgia MEDICAID 9999

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