Lopez, Gemma Justice
Lopez, Gemma Justice is an individual health care provider with primary practice located at 36453 N Gantzel Rd Ste 101 , San Tan Valley AZ 85140-7340. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Lopez, Gemma Justice can be contacted via phone (480) 636-1225.Contact Information
Primary practice address
36453 N Gantzel Rd Ste 101
San Tan Valley AZ 85140-7340
Phone: (480) 636-1225
Fax: (480) 636-8890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 7208 | Arizona |
Profile Details
| NPI number | 1932683919 |
|---|---|
| LBN Legal business name | Lopez, Gemma Justice |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2018 |
| Last updated | Jan 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932683919 | NPPES |
| Arizona | MEDICAID | 577172 |
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