Provider Demographics
NPI:1487968889
Name:PACHANAVICIUS, SIGITAS
Entity type:Individual
Prefix:
First Name:SIGITAS
Middle Name:
Last Name:PACHANAVICIUS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1949 PINE CREEK BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:POWHATAN
Mailing Address - State:VA
Mailing Address - Zip Code:23139-7940
Mailing Address - Country:US
Mailing Address - Phone:804-814-5519
Mailing Address - Fax:
Practice Address - Street 1:1949 PINE CREEK BLUFF RD
Practice Address - Street 2:
Practice Address - City:POWHATAN
Practice Address - State:VA
Practice Address - Zip Code:23139-7940
Practice Address - Country:US
Practice Address - Phone:804-814-5519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications