Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 0101054921 | VA |
NPI | 1053319426 |
---|---|
Provider Name | Christopher G Acker |
First Address | Richmond, VA 23225 |
Second Address | Richmond, VA 23225 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2005 |
Last Update Date | 11/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6094783 | (05) | VA |
G37717 | (02) | VA |