Lopez, John D.

Lopez, John D. is an individual health care provider with primary practice located at 4901 Grande Dr , Pensacola FL 32504-8965. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Lopez, John D. can be contacted via phone (850) 477-7042.

Contact Information

Primary practice address
4901 Grande Dr Pensacola FL 32504-8965
Phone: (850) 477-7042
Fax: (850) 474-9060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP1726152 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 109696 North Carolina

Profile Details

NPI number 1073505202
LBN Legal business name Lopez, John D.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Oct 13th, 2016 - about 10 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 1073505202 NPPES
Alabama MEDICAID 009953310
Alabama Other G1244
Alabama Other 430064443
Alabama Other 59084591
Alabama MEDICAID 303630800

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