Lopez, G. Michael
Lopez, G. Michael is an sole proprietor health care provider with primary practice located at 105 Mills Ave Ste 300 , Las Vegas NM 87701-4169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lopez, G. Michael can be contacted via phone (505) 425-9311.Contact Information
Primary practice address
105 Mills Ave Ste 300
Las Vegas NM 87701-4169
Phone: (505) 425-9311
Fax: (505) 425-9047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | NM81-77 | New Mexico |
Profile Details
| NPI number | 1003973397 |
|---|---|
| LBN Legal business name | Lopez, G. Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 9th, 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 | 1003973397 | NPPES |
| New Mexico | Other | 201006000 | PRESBYTERIAN HEALTH PLAN |
| New Mexico | Other | 50013 | PRESBYTERIAN HEALTH PLAN |
| New Mexico | MEDICAID | NM00007070 | PRESBYTERIAN HEALTH PLAN |
| New Mexico | Other | 1991 | PRESBYTERIAN HEALTH PLAN |
| New Mexico | Other | NM001568 | PRESBYTERIAN HEALTH PLAN |
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