Individual
PETER ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC, CSCS
Contact information
Practice address
2 RIVERVIEW DR, DANBURY, CT 06810
(203) 797-1500
(203) 791-0495
Mailing address
2 RIVERVIEW DR, DANBURY, CT 06810-6268
(203) 797-1500
(203) 791-0495
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
NO LICENSES YET
CT
363A00000X
Physician Assistant
002645
CT
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089902436
NATABOC CERT. NUMBER
CT
01
—
999608
NSCA CSCS CERT. NUMBER
CT
Enumeration date
03/25/2006
Last updated
05/23/2018
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