Lopez, Juan Carlos

Lopez, Juan Carlos is an individual health care provider with primary practice located at 2357 W March Ln , Stockton CA 95207-5239. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Lopez, Juan Carlos can be contacted via phone (209) 477-9300.

Contact Information

Primary practice address
2357 W March Ln Stockton CA 95207-5239
Phone: (209) 477-9300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1689105686
LBN Legal business name Lopez, Juan Carlos
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2017
Last updated Mar 22nd, 2017 - about 9 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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