Lopez, Fernando

Lopez, Fernando is an individual health care provider with primary practice located at 134 Prevatt Rd , Dothan AL 36301-5427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lopez, Fernando can be contacted via phone (334) 794-0731.

Contact Information

Primary practice address
134 Prevatt Rd Dothan AL 36301-5427
Phone: (334) 794-0731
Fax: (334) 671-9199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 6436 Alabama

Profile Details

NPI number 1659391951
LBN Legal business name Lopez, Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Apr 4th, 2013 - about 13 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 1659391951 NPPES
Alabama MEDICAID 009937156
Alabama Other 051000547
Alabama MEDICAID 009934129
Alabama MEDICAID 009979915
Alabama Other 051000544
Alabama Other 051533769
Alabama Other 051533770
Alabama MEDICAID 009979055

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