Lopez, Jose R

Lopez, Jose R is an individual health care provider with primary practice located at 910 Worth Street Foothills Primary Care, Mount Airy NC 27030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lopez, Jose R can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
910 Worth Street Foothills Primary Care Mount Airy NC 27030
Phone: (336) 716-2255
Fax: (336) 783-6842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2012-00004 North Carolina

Profile Details

NPI number 1922009190
LBN Legal business name Lopez, Jose R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 15th, 2012 - about 13 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 1922009190 NPPES
North Carolina MEDICAID 5919100

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