Provider Demographics
NPI:1689801094
Name:PACHMAN, HOWARD D (DPM)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:D
Last Name:PACHMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:16909 BURKE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68118-2268
Mailing Address - Country:US
Mailing Address - Phone:402-333-8856
Mailing Address - Fax:402-333-3428
Practice Address - Street 1:16909 BURKE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68118-2268
Practice Address - Country:US
Practice Address - Phone:402-333-8856
Practice Address - Fax:402-333-3428
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE154213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47-0748405-07Medicaid
NE47-0748405-07Medicaid