Dr. Michael Jospeh Ackley
Sports Medicine Foot Surgery Primary Podiatric Medicine
714 S Main St
Cheshire
, Connecticut 06410-3448
Dr. Michael Jospeh Ackley
Sports Medicine Foot Surgery Primary Podiatric Medicine
714 S Main St
Cheshire
, Connecticut 06410-3448
(203) 250-9951
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About
Features
Specialties
- Primary Podiatric Medicine
- Sports Medicine
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Michael Jospeh Ackley
- 714 S Main St
- Cheshire, CT
- Zip : 06410-3448
- Fax : (203) 250-9951
- Phone : (203) 271-0556
Second Address
- Dr. Michael Jospeh Ackley
- 714 S Main St
- Cheshire, CT
- Zip : 06410-3448
- Fax : (203) 250-9951
- Phone : (203) 271-0556
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Is Dr. Michael Jospeh Ackley a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 395 | CT |
| N | 2081S0010X | Sports Medicine | 395 | CT |
| N | 213ES0000X | Sports Medicine | 395 | CT |
| N | 213ES0131X | Foot Surgery | 395 | CT |
National Provider Identifier
| NPI | 1114928074 |
|---|---|
| Provider Name | Dr. Michael Jospeh Ackley |
| First Address | Cheshire, CT 06410-3448 |
| Second Address | Cheshire, CT 06410-3448 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2005 |
| Last Update Date | 14/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 030000395CT01 | ANTHEM BCBS (01) | CT |
| 0542290 | CIGNA (01) | CT |
| 129286 | FIRST CHOICE PREF ONE (01) | CT |
| 129286 | WELLCARE (01) | CT |
| 2721297 | AETNA (01) | CT |
| 2V1300 | HEALTHNET (01) | CT |
| 4068714 | (05) | CT |
| 480028957 | MEDICARE RAILROAD (01) | CT |
| 787023 | CONNECTICARE (01) | CT |
| NHS221 | OXFORD HEALTH PLAN (01) | CT |
| T22829 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.