Individual provider · NPI-1
Dr. Alice Jody Ackerman, DO
Emergency Medicine · Philippi, WV
NPI number1730151010
StatusActive
Last updated in NPPESApr 1, 2020
Details
- NPI
- 1730151010
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alice Jody Ackerman
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2006
- Certification date
- Apr 1, 2020
- Last updated
- Apr 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 2159 | WV | Yes |
| 207Q00000X | Family Medicine | 2159 | WV | |
| 207Q00000X | Family Medicine | 05-009868-L | PA |
Practice location
1 Healthcare DrMansfield Hill
Philippi, WV 26416
Phone 304-457-1760 · Fax 304-457-3781
Mailing address
1 Healthcare DrMansfield Hill
Philippi, WV 26416-9405
Phone 304-457-1760 · Fax 304-457-3781
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