Lopez, Dillon Ethan
Lopez, Dillon Ethan is an sole proprietor health care provider with primary practice located at 7400 Blanco Rd Ste 126 , San Antonio TX 78216-4361. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Technologists, Technicians & Other Technical Service Providers / Technician, Pathology, Technologists, Technicians & Other Technical Service Providers / EEG, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Lopez, Dillon Ethan can be contacted via phone (210) 627-4017.Contact Information
Primary practice address
7400 Blanco Rd Ste 126
San Antonio TX 78216-4361
Phone: (210) 627-4017
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Technologists, Technicians & Other Technical Service Providers / Technician, Pathology | 246R00000X | ||
| Technologists, Technicians & Other Technical Service Providers / EEG | 246ZE0500X | ||
| Other Service Providers / Peer Specialist | 175T00000X | Texas |
Profile Details
| NPI number | 1306547534 |
|---|---|
| LBN Legal business name | Lopez, Dillon Ethan |
| Credentials | RSPS, MHPS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2023 |
| Last updated | Mar 14th, 2023 - about 3 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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