Lopez, Emilie Ellen
Lopez, Emilie Ellen is an sole proprietor health care provider with primary practice located at 16940 Highway 14 Ste F , Mojave CA 93501-1238. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Lopez, Emilie Ellen can be contacted via phone (661) 824-5020.Contact Information
Primary practice address
16940 Highway 14 Ste F
Mojave CA 93501-1238
Phone: (661) 824-5020
Fax: (661) 824-5026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1891350682 |
|---|---|
| LBN Legal business name | Lopez, Emilie Ellen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2019 |
| Last updated | Jul 14th, 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 | 1891350682 | NPPES |
| California | MEDICAID | 172V00000X |
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