Ackley, George Walton

Ackley, George Walton is an sole proprietor health care provider with primary practice located at 2848 S Delsea Dr Bldg. B, Vineland NJ 08360-7042. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ackley, George Walton can be contacted via phone (609) 675-0872.

Contact Information

Primary practice address
2848 S Delsea Dr Bldg. B Vineland NJ 08360-7042
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00302800 New Jersey

Profile Details

NPI number 1457535833
LBN Legal business name Ackley, George Walton
Credentials PH.D., P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2007
Last updated Sep 8th, 2008 - about 16 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 1457535833 NPPES
New Jersey MEDICAID 7158700

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