Pasternacki, Jacque P
Pasternacki, Jacque P is an individual health care provider with primary practice located at 8080 Academy Rd Ne Ste B , Albuquerque NM 87111-1110. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Pasternacki, Jacque P can be contacted via phone (505) 244-0080.Contact Information
Primary practice address
8080 Academy Rd Ne Ste B
Albuquerque NM 87111-1110
Phone: (505) 244-0080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 81-PA009 | New Mexico |
Profile Details
| NPI number | 1548236334 |
|---|---|
| LBN Legal business name | Pasternacki, Jacque P |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Aug 15th, 2019 - about 6 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 | 1548236334 | NPPES |
| New Mexico | MEDICAID | 000T9885 | |
| New Mexico | MEDICAID | T9885 |
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