Individual
DR. ALICE JODY ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 HEALTHCARE DR, MANSFIELD HILL, PHILIPPI, WV 26416
(304) 457-1760
(304) 457-3781
Mailing address
1 HEALTHCARE DR, MANSFIELD HILL, PHILIPPI, WV 26416-9405
(304) 457-1760
(304) 457-3781
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2159
WV
207Q00000X
Family Medicine Physician
05-009868-L
PA
207Q00000X
Family Medicine Physician
2159
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001782911 (00008)
—
PA
01
—
001817913
MOUNTAIN STATE BCS
WV
05
—
3810004790
—
WV
01
—
P00375987
RAILROAD MEDICARE
—
01
—
WV02159A
THE HEALTH PLAN
—
Enumeration date
02/02/2006
Last updated
04/01/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us