Lopez, Adam

Lopez, Adam is an individual health care provider with primary practice located at 1720 Peachtree St Nw Suite 200, Atlanta GA 30309-2449. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Lopez, Adam can be contacted via phone (404) 351-5045.

Contact Information

Primary practice address
1720 Peachtree St Nw Suite 200 Atlanta GA 30309-2449
Fax: (404) 351-6832
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD003745 Georgia

Profile Details

NPI number 1619933801
LBN Legal business name Lopez, Adam
Credentials M.A./CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Aug 2nd, 2007 - about 17 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 1619933801 NPPES
South Carolina MEDICAID SA0521

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