Ackley, Brittany

Ackley, Brittany is an individual health care provider with primary practice located at 3502 Richmond Rd , Texarkana TX 75503-0705. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Ackley, Brittany can be contacted via phone (903) 614-5270.

Contact Information

Primary practice address
3502 Richmond Rd Texarkana TX 75503-0705
Fax: (903) 614-5279
Website:

Profile Details

NPI number 1295155844
LBN Legal business name Ackley, Brittany
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2014
Last updated May 7th, 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 1295155844 NPPES
Texas Other P02599414 RR MCR
Texas MEDICAID 200883090A RR MCR
Texas Other 716046242 RR MCR

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