Lopez, Alfredo M.

Lopez, Alfredo M. is an sole proprietor health care provider with primary practice located at 2060 N Shadeland Ave Ste 200, Indianapolis IN 46219-1764. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Lopez, Alfredo M. can be contacted via phone (317) 635-3499.

Contact Information

Primary practice address
2060 N Shadeland Ave Ste 200 Indianapolis IN 46219-1764
Phone: (317) 635-3499
Fax: (317) 635-0449
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 01046966A Indiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01046966A Indiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-091192 Illinois

Profile Details

NPI number 1518958040
LBN Legal business name Lopez, Alfredo M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2005
Last updated Apr 23rd, 2019 - about 7 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 1518958040 NPPES
Indiana MEDICAID 200240820

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