Lopez, Sandra Jane

Lopez, Sandra Jane is an individual health care provider with primary practice located at 65 Airport Rd , Cold Bay AK 99571. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Lopez, Sandra Jane can be contacted via phone (907) 532-2000.

Contact Information

Primary practice address
65 Airport Rd Cold Bay AK 99571
Phone: (907) 532-2000
Fax: (907) 532-2001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 08-964-III Alaska

Profile Details

NPI number 1720305667
LBN Legal business name Lopez, Sandra Jane
Credentials CHA IV
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2010
Last updated May 3rd, 2010 - about 16 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 1720305667 NPPES
Alaska MEDICAID CL6515

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