Lopez, Jay Patrick

Lopez, Jay Patrick is an individual health care provider with primary practice located at 21632 Highway 99 , Edmonds WA 98026-8032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Lopez, Jay Patrick can be contacted via phone (425) 775-1677.

Contact Information

Primary practice address
21632 Highway 99 Edmonds WA 98026-8032
Phone: (425) 775-1677
Fax: (425) 778-1635
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD60875633 Washington

Profile Details

NPI number 1164788444
LBN Legal business name Lopez, Jay Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2012
Last updated Sep 27th, 2018 - about 6 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 1164788444 NPPES
Washington MEDICAID 1164788444

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