Pacifico, Micah

Pacifico, Micah is an individual health care provider with primary practice located at 949 Piney Forest Rd , Danville VA 24540-1591. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Pacifico, Micah can be contacted via phone (434) 835-4876.

Contact Information

Primary practice address
949 Piney Forest Rd Danville VA 24540-1591
Phone: (434) 835-4876
Fax: (434) 835-4875
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024178617 Virginia

Profile Details

NPI number 1649819558
LBN Legal business name Pacifico, Micah
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2019
Last updated Dec 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649819558 NPPES
Virginia Other 1225430648 NOT YET CREDENTIALED
Virginia Other 0024178617 NOT YET CREDENTIALED

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