Nazareno, Marilu Lopez
Nazareno, Marilu Lopez is an individual health care provider with primary practice located at 840 W Floyd Baker Blvd , Gaffney SC 29341-1845. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nazareno, Marilu Lopez can be contacted via phone (864) 489-3300.Contact Information
Primary practice address
840 W Floyd Baker Blvd
Gaffney SC 29341-1845
Phone: (864) 489-3300
Fax: (864) 488-3744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19992 | South Carolina |
Profile Details
| NPI number | 1467423558 |
|---|---|
| LBN Legal business name | Nazareno, Marilu Lopez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jan 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467423558 | NPPES |
| South Carolina | Other | 87631 | MEDCOST |
| South Carolina | MEDICAID | T40630 | MEDCOST |
| South Carolina | Other | 01-82998 | MEDCOST |
| South Carolina | MEDICAID | 89063TV | MEDCOST |
| South Carolina | Other | SCA009J577 | MEDCOST |
| South Carolina | Other | 5147604 | MEDCOST |
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