Individual
CARA M. ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8000
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 366-8030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005976RX
OH
363A00000X
Physician Assistant
PA4570
MA
363AS0400X
Surgical Physician Assistant
PA4570
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348803
—
OH
Enumeration date
11/16/2012
Last updated
06/12/2019
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