MEDICARE: CHRISTOPHER J ACKERMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0101044297	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	259661	OTHER	VA	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285626481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER J ACKERMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 459
Second Line	:
City	:	LAWRENCEVILLE
State	:	VA
Zip	:	23868-0459
Country	:	US
Telephone Number	:	434-848-0771
Fax Number	:	434-848-3814

Provider Business Practice Location Address
First Line	:	203 SHARP ST
Second Line	:
City	:	LAWRENCEVILLE
State	:	VA
Zip	:	23868-1615
Country	:	US
Telephone Number	:	434-848-0771
Fax Number	:	434-848-3814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	10/15/2007

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