Lopez, Edward Joseph

Lopez, Edward Joseph is an individual health care provider with primary practice located at 705 17Th St , Columbus GA 31901-3500. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Lopez, Edward Joseph can be contacted via phone (706) 322-7884.

Contact Information

Primary practice address
705 17Th St Columbus GA 31901-3500
Phone: (706) 322-7884
Fax: (706) 243-4355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 246 Alabama
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1541 Texas
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E-3603 California
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000814 Georgia

Profile Details

NPI number 1194816140
LBN Legal business name Lopez, Edward Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Dec 17th, 2021 - about 4 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 1194816140 NPPES
Georgia MEDICAID 000750439O
Georgia Other 814
Georgia Other 202I501203

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