Pacheco, Elba M

Pacheco, Elba M is an individual health care provider with primary practice located at 692 A Ritchie Hwy Suite 2B, Severna Park MD 21146-3971. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is her primary health care specialty. Pacheco, Elba M can be contacted via phone (410) 647-0123.

Contact Information

Primary practice address
692 A Ritchie Hwy Suite 2B Severna Park MD 21146-3971
Phone: (410) 647-0123
Fax: (410) 647-0126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0038556 Maryland
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X D0038556 Maryland

Profile Details

NPI number 1972565406
LBN Legal business name Pacheco, Elba M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jan 8th, 2020 - about 5 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 1972565406 NPPES
Maryland MEDICAID 530401600

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