Pacio, Glenn Amante

Pacio, Glenn Amante is an individual health care provider with primary practice located at 7501 92Nd Avenue Ct Sw , Lakewood WA 98498-3973. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pacio, Glenn Amante can be contacted via phone (253) 588-0058.

Contact Information

Primary practice address
7501 92Nd Avenue Ct Sw Lakewood WA 98498-3973
Fax: (253) 589-4862
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00038095 Washington

Profile Details

NPI number 1497755268
LBN Legal business name Pacio, Glenn Amante
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Apr 9th, 2015 - about 11 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 1497755268 NPPES
Washington Other 658809001 GROUP HEALTH
Washington Other P00183687 GROUP HEALTH
Washington MEDICAID 1115922 GROUP HEALTH

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