Lopez, Javier

Lopez, Javier is an individual health care provider with primary practice located at 5158 Broadway Ave , Cleveland OH 44127-1533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lopez, Javier can be contacted via phone (216) 271-0711.

Contact Information

Primary practice address
5158 Broadway Ave Cleveland OH 44127-1533
Fax: (216) 271-5473
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2653301 Ohio

Profile Details

NPI number 1154319804
LBN Legal business name Lopez, Javier
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154319804 NPPES
Ohio MEDICAID 0080433

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