Pacholka, James R
Pacholka, James R is an sole proprietor health care provider with primary practice located at 1711 27Th St Ste 402 , Portsmouth OH 45662-2669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pacholka, James R can be contacted via phone (740) 356-3562.Contact Information
Primary practice address
1711 27Th St Ste 402
Portsmouth OH 45662-2669
Phone: (740) 356-3562
Fax: (740) 355-6938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 174644 | New York |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.127947 | Ohio |
Profile Details
| NPI number | 1255395646 |
|---|---|
| LBN Legal business name | Pacholka, James R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Dec 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255395646 | NPPES |
| Kentucky | MEDICAID | 7100414720 | |
| Kentucky | MEDICAID | 01344687 | |
| Kentucky | MEDICAID | 0175848 |
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