Healthcare Provider Details

I. General information

NPI: 1306763396
Provider Name (Legal Business Name): PAMELA PACHINGER N/A
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5674 LOUISE DR
MENTOR OH
44060-1909
US

IV. Provider business mailing address

5674 LOUISE DR
MENTOR OH
44060-1909
US

V. Phone/Fax

Practice location:
  • Phone: 440-255-9637
  • Fax:
Mailing address:
  • Phone:
  • Fax: 440-255-9637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: