Ackley, Stanford H.

Ackley, Stanford H. is an individual health care provider with primary practice located at 4800 Sand Point Way Ne Mailstop B-5520, Seattle WA 98105-3901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Ackley, Stanford H. can be contacted via phone (206) 987-2599.

Contact Information

Primary practice address
4800 Sand Point Way Ne Mailstop B-5520 Seattle WA 98105-3901
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD00048305 Washington

Profile Details

NPI number 1275565137
LBN Legal business name Ackley, Stanford H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated May 12th, 2010 - about 14 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 1275565137 NPPES
California MEDICAID 00A905290

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