Acklin, Traci Boyd

Acklin, Traci Boyd is an individual health care provider with primary practice located at 401 6Th Ave Suite 100, Montgomery WV 25136-2116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Acklin, Traci Boyd can be contacted via phone (304) 442-7427.

Contact Information

Primary practice address
401 6Th Ave Suite 100 Montgomery WV 25136-2116
Phone: (304) 442-7427
Fax: (304) 442-0212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20405 West Virginia

Profile Details

NPI number 1578527107
LBN Legal business name Acklin, Traci Boyd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jun 9th, 2020 - about 5 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 1578527107 NPPES
West Virginia MEDICAID 1802460000

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