Jason Ackerman
Internist Internist - Addiction Medicine
1333 W 5th St, Ste 112
Sheridan
, Wyoming 82801-2752
Jason Ackerman
Internist Internist - Addiction Medicine
1333 W 5th St, Ste 112
Sheridan
, Wyoming 82801-2752
(307) 675-2651
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Jason Ackerman
- 1333 W 5th St, Ste 110
- Sheridan, WY
- Zip : 82801-2752
- Fax : (307) 675-2651
- Phone : (307) 675-2650
Second Address
- Jason Ackerman
- 1333 W 5th St, Ste 112
- Sheridan, WY
- Zip : 82801-2752
- Fax : (307) 675-2651
- Phone : (307) 675-2650
Reviews
FAQs
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Is Jason Ackerman a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 9412A | WY |
| N | 111NI0900X | Internist | 9412A | WY |
| Y | 207RA0401X | Internist - Addiction Medicine | 49412A | WY |
National Provider Identifier
| NPI | 1396060604 |
|---|---|
| Provider Name | Jason Ackerman |
| First Address | Sheridan, WY 82801-2752 |
| Second Address | Sheridan, WY 82801-2752 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2010 |
| Last Update Date | 09/08/2021 |
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.