NPI 1063649515

Guy R Ackerman

Practitioner Home Modifications Contractor Petersburg, VA

Practice location

Address: 21738 Magnolia Ave, Petersburg, VA 23803-2212
Phone: (804) 524-9097
Fax: (804) 524-9097

Registered specialties (2)

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence 2705089862 (VA)

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Contractor

Other Service Providers Taxonomy 171W00000X Licence 2705089862 (VA)

Registry record

NPI: 1063649515
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2009
Record last updated: 11 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.