Lopez, Gerardo C

Lopez, Gerardo C is an individual health care provider with primary practice located at 527 Medical Park Dr Ste 304 , Bridgeport WV 26330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lopez, Gerardo C can be contacted via phone (304) 933-3830.

Contact Information

Primary practice address
527 Medical Park Dr Ste 304 Bridgeport WV 26330
Phone: (304) 933-3830
Fax: (304) 933-3837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 17559 West Virginia

Profile Details

NPI number 1174575484
LBN Legal business name Lopez, Gerardo C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 21st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174575484 NPPES
West Virginia MEDICAID 0081763000
West Virginia Other 001720850
West Virginia Other WV17559A

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