Lopez, Timothy M

Lopez, Timothy M is an individual health care provider with primary practice located at 490A W Zia Rd , Santa Fe NM 87505-6996. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Lopez, Timothy M can be contacted via phone (505) 913-8900.

Contact Information

Primary practice address
490A W Zia Rd Santa Fe NM 87505-6996
Phone: (505) 913-8900
Fax: (505) 913-8923
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 90-72 New Mexico

Profile Details

NPI number 1174521983
LBN Legal business name Lopez, Timothy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jun 2nd, 2015 - about 10 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 1174521983 NPPES
Other 900003136 RAILROAD MEDICARE

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