Lopez, Josephine T

Lopez, Josephine T is an sole proprietor health care provider with primary practice located at 1500 Oglethorpe Ave Bldg 100, Athens GA 30606-2179. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lopez, Josephine T can be contacted via phone (706) 543-9899.

Contact Information

Primary practice address
1500 Oglethorpe Ave Bldg 100 Athens GA 30606-2179
Phone: (706) 543-9899
Fax: (706) 613-3995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 044125 Georgia

Profile Details

NPI number 1285699199
LBN Legal business name Lopez, Josephine T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2006
Last updated Oct 19th, 2011 - about 15 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 1285699199 NPPES
Georgia MEDICAID 000754839B

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