Pacifico, Albert D

Pacifico, Albert D is an individual health care provider with primary practice located at 619 19Th Street South , Birmingham AL 35233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Pacifico, Albert D can be contacted via phone (205) 934-6600.

Contact Information

Primary practice address
619 19Th Street South Birmingham AL 35233
Phone: (205) 934-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 3999 Alabama

Profile Details

NPI number 1790716231
LBN Legal business name Pacifico, Albert D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 8th, 2007 - about 18 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 1790716231 NPPES
Mississippi Other 00123025 MISSISSIPPI MEDICAID
Mississippi Other 11576 MISSISSIPPI MEDICAID
Mississippi Other C76389 MISSISSIPPI MEDICAID

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