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Contact Information

LARISSA M ACKERSON, DO
ISU THIELEN STUDENT HEALTH CENTER 2647 UNION DRIVE
AMES, IA50011
 Phone: 515-294-5801
 Fax: 515-294-1190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LARISSA M ACKERSON · (Female)

NPI # 1255666020
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/12/2009
Last updated 07/27/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 04259
  • IA Other 04259 IA LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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