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PETER ACKERMAN PA-C, ATC, CSCS

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1487614160

Individual Registrant:
 PETER  ACKERMAN PA-C, ATC, CSCS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2 RIVERVIEW DR  DANBURY, CT 06810 US
Tel: 203-797-1500  Fax: 203-791-0495

Contact information for business:
2 RIVERVIEW DR  DANBURY, CT 06810-6268 US
Tel: 203-797-1500  Fax: 203-791-0495

Registration Information:
NPI: 1487614160
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
CTNO LICENSES YET
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CT002645
Y363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
NSCA CSCS CERT. NUMBER999608CT01
NATABOC CERT. NUMBER089902436CT01




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