Lopez, Sebastian

Lopez, Sebastian is an individual health care provider with primary practice located at 601 W Country Club Rd Suite 201, Roswell NM 88201-5224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lopez, Sebastian can be contacted via phone (575) 627-0535.

Contact Information

Primary practice address
601 W Country Club Rd Suite 201 Roswell NM 88201-5224
Phone: (575) 627-0535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 27867 Arizona
Allopathic & Osteopathic Physicians / Surgery 208600000X MD2008-0699 New Mexico

Profile Details

NPI number 1730186362
LBN Legal business name Lopez, Sebastian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Dec 7th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730186362 NPPES
Arizona Other 020043666 RR MEDICARE
Arizona Other 2Z0574 RR MEDICARE
Arizona MEDICAID 479875 RR MEDICARE
Arizona Other 2214988 RR MEDICARE
Arizona MEDICAID 36128384 RR MEDICARE
Arizona Other AZ0850750 RR MEDICARE

Popular Providers