Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL JOSPEH ACKLEY, DPM
Deactivated Sole ProprietorDR. MICHAEL JOSPEH ACKLEY, DPM is a Radiology Podiatrist healthcare provider located in CHESHIRE, Connecticut. NPI 1114928074 is deactivated in the NPPES registry. Verify at CMS.
Radiology Podiatrist · CHESHIRE, CT
This NPI has been deactivated.
The record was deactivated on March 21, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1114928074
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2005 (0.63287671232877 yrs)
- Last Updated
- Nov 14, 2011
- Deactivated
- Mar 21, 2006
- Licenses
-
395 (CT)395 (CT)395 (CT)395 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
714 S MAIN STCHESHIRE, CT, 064103448Browse CT providers · Browse ZIP 06410
- Phone
- 2032710556
- Fax
- 2032509951
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Sports Medicine Podiatrist
- Additional Specialty
- Foot Surgery Podiatrist
- Additional Specialty
- Durable Medical Equipment & Medical Supplies
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.