Pacifico, Stephen E
Pacifico, Stephen E is an individual health care provider with primary practice located at 250 Bmh Physicians Office Bldg , Maryville TN 37804-5904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pacifico, Stephen E can be contacted via phone (865) 980-5244.Contact Information
Primary practice address
250 Bmh Physicians Office Bldg
Maryville TN 37804-5904
Phone: (865) 980-5244
Fax: (865) 980-5245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD53188 | Tennessee |
Profile Details
| NPI number | 1093026627 |
|---|---|
| LBN Legal business name | Pacifico, Stephen E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2010 |
| Last updated | Dec 19th, 2022 - about 3 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 | 1093026627 | NPPES |
| Tennessee | MEDICAID | Q015220 |
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