Lopez, Henry Agustin
Lopez, Henry Agustin is an individual health care provider with primary practice located at 5 Coliseum Ave , Nashua NH 03063-3292. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lopez, Henry Agustin can be contacted via phone (603) 882-9800.Contact Information
Primary practice address
5 Coliseum Ave
Nashua NH 03063-3292
Phone: (603) 882-9800
Fax: (603) 882-0556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0544 | New Hampshire |
Profile Details
| NPI number | 1003811191 |
|---|---|
| LBN Legal business name | Lopez, Henry Agustin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jul 8th, 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 | 1003811191 | NPPES |
| New Hampshire | MEDICAID | 30010494 |
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