Individual
DR. CHARLES V ACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
955 BELLEFONTE AVE, LOCK HAVEN, PA 17745-3033
(570) 748-7714
(570) 893-6325
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS012466
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001936197
—
PA
Enumeration date
02/14/2006
Last updated
08/10/2020
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