Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NP184 | ME |
N | 175L00000X | Homeopath | ||
N | 176B00000X | Midwife | 00100001 |
NPI | 1841329067 |
---|---|
Provider Name | Dr. Sarah T. Ackerly |
First Address | Topsham, ME 04086-1234 |
Second Address | Topsham, ME 04086-1234 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 05/04/2014 |