Lopez, Heidi Roth

Lopez, Heidi Roth is an sole proprietor health care provider with primary practice located at 812 4Th St Suite A, Marysville CA 95901-5667. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Lopez, Heidi Roth can be contacted via phone (530) 741-3937.

Contact Information

Primary practice address
812 4Th St Suite A Marysville CA 95901-5667
Phone: (530) 741-3937
Fax: (530) 741-2109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2184 California

Profile Details

NPI number 1386739639
LBN Legal business name Lopez, Heidi Roth
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Feb 11th, 2022 - about 3 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 1386739639 NPPES
California Other 5839834 MEDI-CAL /EDS
California Other CGP170273 MEDI-CAL /EDS

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