Pacheco, Jessica L
Pacheco, Jessica L is an sole proprietor health care provider with primary practice located at 170 Terry Ln , Lytle TX 78052-3829. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as her primary health care specialty. Pacheco, Jessica L can be contacted via phone (210) 835-8955.Contact Information
Primary practice address
170 Terry Ln
Lytle TX 78052-3829
Phone: (210) 835-8955
Fax: (830) 772-5611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X |
Profile Details
| NPI number | 1508419763 |
|---|---|
| LBN Legal business name | Pacheco, Jessica L |
| Credentials | CSA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2019 |
| Last updated | Jul 17th, 2019 - about 7 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 | 1508419763 | NPPES |
| Texas | Other | 4991 | CERTIFIED SURGICAL ASSISTANT |
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