Pacifico, Albert Dominick
Pacifico, Albert Dominick is an individual health care provider with primary practice located at 1321 Colby Ave Medical Staff Office, Everett WA 98201-1665. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Pacifico, Albert Dominick can be contacted via phone (425) 261-2000.Contact Information
Primary practice address
1321 Colby Ave Medical Staff Office
Everett WA 98201-1665
Phone: (425) 261-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00030038 | Washington |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD00030038 | Washington |
Profile Details
| NPI number | 1073519328 |
|---|---|
| LBN Legal business name | Pacifico, Albert Dominick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jun 22nd, 2021 - about 5 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 | 1073519328 | NPPES |
| Washington | MEDICAID | 8150468 | |
| Washington | MEDICAID | 1042731 |
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