Individual
DR. MICHAEL KEITH ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
555 HOSPITAL DR, WARRENTON, VA 20186-3028
(540) 347-5512
(540) 341-4646
Mailing address
52 WEST SHIRLEY AVENUE, WARRENTON, VA 20186
(540) 347-9220
(540) 347-0492
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102050260
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060860000
SOUTHERN HEALTH PROVIDER
VA
01
—
2473397
AETNA PROVIDER NUMBER
VA
01
—
274674
ANTHEM PROVIDER NUMBER
VA
01
—
50820004
CAREFIRST PROVIDER NUMBER
DC
05
—
5846838
—
VA
01
—
8195981
CIGNA PROVIDER NUMBER
VA
01
—
885926
MAMSI PROVIDER NUMBER
VA
Enumeration date
12/19/2006
Last updated
03/18/2014
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