Pacheco, Christine M

Pacheco, Christine M is an sole proprietor health care provider with primary practice located at 1008 Minnequa Ave , Pueblo CO 81004-3733. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Pacheco, Christine M can be contacted via phone (719) 557-5430.

Contact Information

Primary practice address
1008 Minnequa Ave Pueblo CO 81004-3733
Phone: (719) 557-5430
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA1528 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 90919 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN.0003498-CRNA Colorado

Profile Details

NPI number 1578568143
LBN Legal business name Pacheco, Christine M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Jan 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578568143 NPPES
Colorado MEDICAID 87082837

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