Maldonado, Jose Lopez

Maldonado, Jose Lopez is an individual health care provider with primary practice located at 2604 Medical Office Pl , Goldsboro NC 27534-9417. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Maldonado, Jose Lopez can be contacted via phone (919) 580-0004.

Contact Information

Primary practice address
2604 Medical Office Pl Goldsboro NC 27534-9417
Phone: (919) 580-0004
Fax: (919) 580-9224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 102234 North Carolina

Profile Details

NPI number 1487744306
LBN Legal business name Maldonado, Jose Lopez
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Feb 4th, 2014 - about 12 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 1487744306 NPPES
North Carolina Other 102234 LICENSE

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