| Ackerman Chiropractic Pc | |
|
1105 Kennedy Pl Ste 5 Davis CA 95616-1272 | |
| (530) 650-5265 | |
| Not Available |
| Full Name | Ackerman Chiropractic Pc |
|---|---|
| Speciality | Chiropractor |
| Location | 1105 Kennedy Pl Ste 5, Davis, California |
| Authorized Official Name and Position | Michael David Ackerman (OWNER) |
| Authorized Official Contact | 7078329623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ackerman Chiropractic Pc 949 Ponderosa Pl Davis CA 95616-2140 Ph: (707) 832-9623 | Ackerman Chiropractic Pc 1105 Kennedy Pl Ste 5 Davis CA 95616-1272 Ph: (530) 650-5265 |
| NPI Number | 1558867085 |
|---|---|
| Provider Enumeration Date | 04/03/2018 |
| Last Update Date | 10/14/2019 |
| Medicare PECOS PAC ID | 2567905169 |
|---|---|
| Medicare Enrollment ID | O20240625002240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558867085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | 34069 (California) | Primary |
| Provider Name | Michael David Ackerman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962900415 PECOS PAC ID: 6709121429 Enrollment ID: I20181226002378 |
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