Lopez, Tobias M

Lopez, Tobias M is an individual health care provider with primary practice located at 5304 N Road 68 , Pasco WA 99301-8078. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lopez, Tobias M can be contacted via phone (509) 543-9300.

Contact Information

Primary practice address
5304 N Road 68 Pasco WA 99301-8078
Phone: (509) 543-9300
Fax: (509) 545-5049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60602551 Washington

Profile Details

NPI number 1760736177
LBN Legal business name Lopez, Tobias M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2012
Last updated May 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760736177 NPPES
Washington MEDICAID 1760736177
Washington Other 0346933

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