Lopez, Bernard Ronald
Lopez, Bernard Ronald is an sole proprietor health care provider with primary practice located at 2843 Alternate 19 , Palm Harbor FL 34683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lopez, Bernard Ronald can be contacted via phone (727) 772-0038.Contact Information
Primary practice address
2843 Alternate 19
Palm Harbor FL 34683
Phone: (727) 772-0038
Fax: (727) 787-2384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME0042956 | Florida |
Profile Details
| NPI number | 1568458891 |
|---|---|
| LBN Legal business name | Lopez, Bernard Ronald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568458891 | NPPES |
| Florida | MEDICAID | 064226600 |
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