Individual provider · NPI-1

Joshua Ackermann, PA-C

Physician Assistant, Surgical · Indianapolis, IN

NPI number1285989269
StatusActive
Last updated in NPPESMay 17, 2022

Details

NPI
1285989269
Entity type
Individual (NPI-1)
Name
Mr. Joshua Ackermann
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Jul 17, 2012
Certification date
May 17, 2022
Last updated
May 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical10001418AINYes
363A00000X Physician Assistant10001418AIN

Practice location

8433 Harcourt Rd Ste 100
Indianapolis, IN 46260-2193

Phone 317-583-7600

Mailing address

8433 Harcourt Rd Ste 100
Indianapolis, IN 46260-2193

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