Pack, Richard E

Pack, Richard E is an individual health care provider with primary practice located at 1995 E State St , Salem OH 44460-2423. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Pack, Richard E can be contacted via phone (330) 332-1551.

Contact Information

Primary practice address
1995 E State St Salem OH 44460-2423
Phone: (330) 332-1551
Fax: (330) 332-7663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN-114377331 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA-01763 Ohio

Profile Details

NPI number 1154377331
LBN Legal business name Pack, Richard E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Mar 23rd, 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 1154377331 NPPES
Ohio MEDICAID 0748025

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