Lopez, Gabriel Thomas
Lopez, Gabriel Thomas is an sole proprietor health care provider with primary practice located at 7419 W Planada Ln , Glendale AZ 85310-5886. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Lopez, Gabriel Thomas can be contacted via phone (602) 571-3364.Contact Information
Primary practice address
7419 W Planada Ln
Glendale AZ 85310-5886
Phone: (602) 571-3364
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 7939 | Arizona |
Profile Details
| NPI number | 1659846988 |
|---|---|
| LBN Legal business name | Lopez, Gabriel Thomas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2018 |
| Last updated | Aug 17th, 2020 - about 6 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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