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
Phone: (609) 675-0872
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 1457535833 | NPPES |
| New Jersey | MEDICAID | 7158700 |
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