Perez-Lopez, Edwin
Perez-Lopez, Edwin is an individual health care provider with primary practice located at 83 Wellness Way Ste 101&201 , Benton KY 42025-7156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perez-Lopez, Edwin can be contacted via phone (270) 527-0045.Contact Information
Primary practice address
83 Wellness Way Ste 101&201
Benton KY 42025-7156
Phone: (270) 527-0045
Fax: (270) 527-9615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39144 | Kentucky |
Profile Details
| NPI number | 1447272299 |
|---|---|
| LBN Legal business name | Perez-Lopez, Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Dec 4th, 2023 - about 2 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 | 1447272299 | NPPES |
| Kentucky | MEDICAID | 64106602 |
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