Lopez, Evelyn
Lopez, Evelyn is an sole proprietor health care provider with primary practice located at 19634 Black Olive Ln , Boca Raton FL 33498-4828. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Lopez, Evelyn can be contacted via phone (561) 477-5832.Contact Information
Primary practice address
19634 Black Olive Ln
Boca Raton FL 33498-4828
Phone: (561) 477-5832
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1164642880 |
|---|---|
| LBN Legal business name | Lopez, Evelyn |
| Credentials | ITDS-PROVIDER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Dec 26th, 2018 - about 6 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 | 1164642880 | NPPES |
| Florida | MEDICAID | 811788800 |
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