Lopez, Jesse G
Lopez, Jesse G is an individual health care provider with primary practice located at 4605 E Elwood St Ste 500 , Phoenix AZ 85040-1978. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lopez, Jesse G can be contacted via phone (602) 200-9021.Contact Information
Primary practice address
4605 E Elwood St Ste 500
Phoenix AZ 85040-1978
Phone: (602) 200-9021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 35086107 | Ohio |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 64389 | Arizona |
Profile Details
| NPI number | 1194714196 |
|---|---|
| LBN Legal business name | Lopez, Jesse G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Aug 18th, 2021 - about 5 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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