Lopez, Jerry Wayne

Lopez, Jerry Wayne is an individual health care provider with primary practice located at 850 E Foothill Blvd , Rialto CA 92376-5230. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Lopez, Jerry Wayne can be contacted via phone (909) 421-9370.

Contact Information

Primary practice address
850 E Foothill Blvd Rialto CA 92376-5230
Phone: (909) 421-9370
Fax: (909) 421-9392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 22964 California

Profile Details

NPI number 1023155694
LBN Legal business name Lopez, Jerry Wayne
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
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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