Lopez, Roman

Lopez, Roman is an individual health care provider with primary practice located at 1640 E Flamingo Rd #100, Las Vegas NV 89119-5249. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Lopez, Roman can be contacted via phone (702) 369-4357.

Contact Information

Primary practice address
1640 E Flamingo Rd #100 Las Vegas NV 89119-5249
Phone: (702) 369-4357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1041C0700X Nevada
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1265701098
LBN Legal business name Lopez, Roman
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2011
Last updated Feb 18th, 2014 - about 12 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 1265701098 NPPES
Nevada MEDICAID 45-3558217

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