Ackley, Michael Jospeh

Ackley, Michael Jospeh is an sole proprietor health care provider with primary practice located at 714 S Main St , Cheshire CT 06410-3448. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Ackley, Michael Jospeh can be contacted via phone (203) 271-0556.

Contact Information

Primary practice address
714 S Main St Cheshire CT 06410-3448
Phone: (203) 271-0556
Fax: (203) 250-9951
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 395 Connecticut
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 395 Connecticut
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 395 Connecticut
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 395 Connecticut

Profile Details

NPI number 1114928074
LBN Legal business name Ackley, Michael Jospeh
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2005
Last updated Nov 14th, 2011 - about 13 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 1114928074 NPPES
Connecticut Other 030000395CT01 ANTHEM BCBS
Connecticut Other 2V1300 ANTHEM BCBS
Connecticut Other 480028957 ANTHEM BCBS
Connecticut Other 0542290 ANTHEM BCBS
Connecticut Other 129286 ANTHEM BCBS
Connecticut Other 129286 ANTHEM BCBS
Connecticut Other 2721297 ANTHEM BCBS
Connecticut Other NHS221 ANTHEM BCBS
Connecticut Other 787023 ANTHEM BCBS
Connecticut MEDICAID 4068714 ANTHEM BCBS

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