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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326012717 NPPES
Pennsylvania MEDICAID 001936197

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