Pacheco, Jerick C

Pacheco, Jerick C is an individual health care provider with primary practice located at 528 N 1St St , Vincennes IN 47591-1402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pacheco, Jerick C can be contacted via phone (812) 882-4434.

Contact Information

Primary practice address
528 N 1St St Vincennes IN 47591-1402
Phone: (812) 882-4434
Fax: (812) 885-6318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35081844P Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01063831A Indiana

Profile Details

NPI number 1992781181
LBN Legal business name Pacheco, Jerick C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Sep 7th, 2012 - about 14 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 1992781181 NPPES
Indiana MEDICAID 200869750A

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