Lopez, Jordyn

Lopez, Jordyn is an individual health care provider with primary practice located at 400 Atlantic Christian Col Dr Ne , Wilson NC 27893-2505. She recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Lopez, Jordyn can be contacted via phone (440) 231-7666.

Contact Information

Primary practice address
400 Atlantic Christian Col Dr Ne Wilson NC 27893-2505
Phone: (440) 231-7666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 0176569 Ohio
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2000032760

Profile Details

NPI number 1114445152
LBN Legal business name Lopez, Jordyn
Credentials MS, LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2017
Last updated Nov 27th, 2023 - about 2 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 1114445152 NPPES
Ohio MEDICAID 105800774-00

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