Pacheco, Katherine

Pacheco, Katherine is an individual health care provider with primary practice located at 110 Liberty St , Brockton MA 02301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pacheco, Katherine can be contacted via phone (508) 894-0400.

Contact Information

Primary practice address
110 Liberty St Brockton MA 02301
Phone: (508) 894-0400
Fax: (508) 894-0617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 214357 Massachusetts

Profile Details

NPI number 1821025719
LBN Legal business name Pacheco, Katherine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Feb 21st, 2019 - 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 1821025719 NPPES
Massachusetts Other UX9190 MEDICARE PTAN

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