NPI 1730151010 · live from the CMS NPI Registry
Alice Jody Ackerman, DO
Emergency Medicine in Philippi, WV. National Provider Identifier 1730151010, active.
NPI record
| NPI | 1730151010 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 1 Healthcare Dr, Mansfield Hill, Philippi, WV 26416 |
| Practice phone | 304-457-1760 |
| Enumerated | February 2, 2006 |
| Last updated | April 1, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 2159 (WV) |
| Family Medicine | 207Q00000X | 05-009868-L (PA) |
| Emergency Medicine primary | 207P00000X | 2159 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.