Provider Demographics
NPI:1659504165
Name:PACIK, DEBORAH (MD, LIC AC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:PACIK
Suffix:
Gender:F
Credentials:MD, LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HAMPTON RD UNIT 200
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2995
Mailing Address - Country:US
Mailing Address - Phone:037-757-5756
Mailing Address - Fax:603-778-9680
Practice Address - Street 1:1 HAMPTON RD UNIT 200
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2995
Practice Address - Country:US
Practice Address - Phone:037-757-5756
Practice Address - Fax:603-778-9680
Is Sole Proprietor?:No
Enumeration Date:2009-08-31
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000327171100000X
NHPENDING208100000X
390200000X
NH241852081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
No171100000XOther Service ProvidersAcupuncturist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH24185OtherNH BOARD OF MEDICINE