Lopez, Sergio
Lopez, Sergio is an sole proprietor health care provider with primary practice located at 30 Fourth Rd , Greenwood Lake NY 10925-2510. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Lopez, Sergio can be contacted via phone (845) 537-6908.Contact Information
Primary practice address
30 Fourth Rd
Greenwood Lake NY 10925-2510
Phone: (845) 537-6908
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 37AC00569600 | New Jersey |
Profile Details
| NPI number | 1417622317 |
|---|---|
| LBN Legal business name | Lopez, Sergio |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2021 |
| Last updated | Aug 12th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417622317 | NPPES |
| Other | 37AC00569600 | LICENSE NUMBER |
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