Ackley, Charles V
Ackley, Charles V is an individual health care provider with primary practice located at 955 Bellefonte Ave , Lock Haven PA 17745-3033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ackley, Charles V can be contacted via phone (570) 748-7714.Contact Information
Primary practice address
955 Bellefonte Ave
Lock Haven PA 17745-3033
Phone: (570) 748-7714
Fax: (570) 893-6325
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS012466 | Pennsylvania |
Profile Details
NPI number | 1326012717 |
---|---|
LBN Legal business name | Ackley, Charles V |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 14th, 2006 |
Last updated | Aug 10th, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326012717 | NPPES |
Pennsylvania | MEDICAID | 001936197 |
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