Pacheco, Jeffrey Thomas

Pacheco, Jeffrey Thomas is an individual health care provider with primary practice located at 203 Hospital Dr Suite 200, Glen Burnie MD 21061-6904. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pacheco, Jeffrey Thomas can be contacted via phone (410) 760-8840.

Contact Information

Primary practice address
203 Hospital Dr Suite 200 Glen Burnie MD 21061-6904
Phone: (410) 760-8840
Fax: (410) 760-7864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D00061090 Maryland

Profile Details

NPI number 1902804917
LBN Legal business name Pacheco, Jeffrey Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 8th, 2007 - about 17 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 1902804917 NPPES
Maryland MEDICAID 001232700

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