Pacia, Ellen B

Pacia, Ellen B is an individual health care provider with primary practice located at 9001 N Main St Suite A, Dayton OH 45415-1175. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Pacia, Ellen B can be contacted via phone (937) 832-0990.

Contact Information

Primary practice address
9001 N Main St Suite A Dayton OH 45415-1175
Fax: (937) 832-7323
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OH 35-08-3871P Ohio

Profile Details

NPI number 1801880851
LBN Legal business name Pacia, Ellen B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Feb 17th, 2011 - about 13 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 1801880851 NPPES
Ohio MEDICAID 4188052

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