Healthcare Provider Details

I. General information

NPI: 1982276705
Provider Name (Legal Business Name): MICHAEL D. AKERS II RD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2021
Last Update Date: 07/12/2021
Certification Date: 07/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 SEAMAN AVE APT C5
NEW YORK NY
10034-1208
US

IV. Provider business mailing address

260 SEAMAN AVE APT C5
NEW YORK NY
10034-1208
US

V. Phone/Fax

Practice location:
  • Phone: 818-288-4565
  • Fax:
Mailing address:
  • Phone: 818-288-4565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: