Lopez, Joe
Lopez, Joe is an individual health care provider with primary practice located at 2598 S Buckaroo Trl , Gilbert AZ 85297-6576. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Lopez, Joe can be contacted via phone (602) 790-9808.Contact Information
Primary practice address
2598 S Buckaroo Trl
Gilbert AZ 85297-6576
Phone: (602) 790-9808
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 0373 | Arizona |
Profile Details
| NPI number | 1790773125 |
|---|---|
| LBN Legal business name | Lopez, Joe |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790773125 | NPPES |
| Arizona | Other | 0373 | STATE LICENSE |
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