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DR. MICHAEL JOSPEH ACKLEY DPM

Primary Podiatric Medicine >> Podiatrist >> Podiatric Medicine & Surgery Service Providers

Registrant NPI Number: 1114928074

Individual Registrant:
DR. MICHAEL JOSPEH ACKLEY DPM
Gender: M
Sole Proprietor

Location and contact information for practice:
714 S MAIN ST  CHESHIRE, CT 06410-3448 US
Tel: 203-271-0556  Fax: 203-250-9951

Contact information for business:
714 S MAIN ST  CHESHIRE, CT 06410-3448 US
Tel: 203-271-0556  Fax: 203-250-9951

Registration Information:
NPI: 1114928074
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y213EP1101XPodiatric Medicine & Surgery Service Providers
Podiatrist
Primary Podiatric Medicine
CT395
N213ES0000XPodiatric Medicine & Surgery Service Providers
Podiatrist
CT395
N213ES0131XPodiatric Medicine & Surgery Service Providers
Podiatrist
CT395
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
CT395

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ANTHEM BCBS030000395CT01CT01
AETNA2721297CT01
FIRST CHOICE PREF ONE129286CT01
MEDICARE RAILROAD480028957CT01
CIGNA0542290CT01
CONNECTICARE787023CT01
4068714CT05
WELLCARE129286CT01
HEALTHNET2V1300CT01
OXFORD HEALTH PLANNHS221CT01




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