Lopez, Juan B

Lopez, Juan B is an individual health care provider with primary practice located at 106 Mcdill Ave , Stevens Point WI 54481-6212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lopez, Juan B can be contacted via phone (715) 344-2004.

Contact Information

Primary practice address
106 Mcdill Ave Stevens Point WI 54481-6212
Phone: (715) 344-2004
Fax: (715) 344-2013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23466-020 Wisconsin

Profile Details

NPI number 1821068677
LBN Legal business name Lopez, Juan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821068677 NPPES
Wisconsin MEDICAID 30347600

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