Lopez, Jena Marie
Lopez, Jena Marie is an individual health care provider with primary practice located at 1415 E Kincaid Street , Mount Vernon WA 98274-4126. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Lopez, Jena Marie can be contacted via phone (360) 424-4111.Contact Information
Primary practice address
1415 E Kincaid Street
Mount Vernon WA 98274-4126
Phone: (360) 424-4111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD00048855 | Washington |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD00048855 | Washington |
Profile Details
| NPI number | 1386607612 |
|---|---|
| LBN Legal business name | Lopez, Jena Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2006 |
| Last updated | Mar 17th, 2016 - about 9 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 | 1386607612 | NPPES |
| Washington | MEDICAID | 8509226 |
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