Pacheco, Alejandro
Pacheco, Alejandro is an individual health care provider with primary practice located at 205 S Park Ln , Altus OK 73521-5755. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pacheco, Alejandro can be contacted via phone (580) 379-6650.Contact Information
Primary practice address
205 S Park Ln
Altus OK 73521-5755
Phone: (580) 379-6650
Fax: (580) 379-6659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 31406 | Oklahoma |
Profile Details
| NPI number | 1528322476 |
|---|---|
| LBN Legal business name | Pacheco, Alejandro |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2012 |
| Last updated | Mar 8th, 2016 - about 9 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 | 1528322476 | NPPES |
| Oklahoma | MEDICAID | 200596050A |
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