Lopez, Anthony
Lopez, Anthony is an sole proprietor health care provider with primary practice located at 14011 Kenton Ave , Crestwood IL 60445-2252. He recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as his primary health care specialty. Lopez, Anthony can be contacted via phone (219) 794-4653.Contact Information
Primary practice address
14011 Kenton Ave
Crestwood IL 60445-2252
Phone: (219) 794-4653
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prevention Professional | 405300000X | 2000026450 | Illinois |
Profile Details
| NPI number | 1891221958 |
|---|---|
| LBN Legal business name | Lopez, Anthony |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2017 |
| Last updated | May 11th, 2017 - about 7 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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