Individual provider · Type 1 NPI
Michael Jospeh Ackley, DPM
Primary Podiatric Medicine Podiatrist · Cheshire, CT
NPI number
1114928074
Active · reactivated Apr 13, 2006
Practice location
714 S Main St
Cheshire, CT 06410-3448
Fax (203) 250-9951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 395 (CT) |
| Sports Medicine Podiatrist | 213ES0000X | 395 (CT) |
| Foot Surgery Podiatrist | 213ES0131X | 395 (CT) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 395 (CT) |
Primary Podiatric Medicine Podiatrist: Definition to come...
2 other providers at this address
About NPI 1114928074
Michael Jospeh Ackley, DPM's National Provider Identifier is 1114928074, issued on Aug 2, 2005. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Cheshire, CT. The record was last updated on Nov 14, 2011.