Individual
DR. MICHAEL JOSPEH ACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
714 S MAIN ST, CHESHIRE, CT 06410-3448
(203) 271-0556
(203) 250-9951
Mailing address
714 S MAIN ST, CHESHIRE, CT 06410-3448
(203) 271-0556
(203) 250-9951
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
395
CT
213ES0000X
Sports Medicine Podiatrist
395
CT
213ES0131X
Foot Surgery Podiatrist
395
CT
332B00000X
Durable Medical Equipment & Medical Supplies
395
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030000395CT01
ANTHEM BCBS
CT
01
—
0542290
CIGNA
CT
01
—
129286
FIRST CHOICE PREF ONE
CT
01
—
2721297
AETNA
CT
01
—
2V1300
HEALTHNET
CT
05
—
4068714
—
CT
01
—
480028957
MEDICARE RAILROAD
CT
01
—
787023
CONNECTICARE
CT
01
—
NHS221
OXFORD HEALTH PLAN
CT
Enumeration date
08/02/2005
Last updated
11/14/2011
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