Lopez, Jorge Ivan
Lopez, Jorge Ivan is an sole proprietor health care provider with primary practice located at 1600 Medical Center Dr Ste B500 , Huntington WV 25701-3655. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Lopez, Jorge Ivan can be contacted via phone (304) 691-1787.Contact Information
Primary practice address
1600 Medical Center Dr Ste B500
Huntington WV 25701-3655
Phone: (304) 691-1787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 17440 | Alabama |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 28628 | West Virginia |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 17440 | Alabama |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 28628 | West Virginia |
Profile Details
| NPI number | 1982652657 |
|---|---|
| LBN Legal business name | Lopez, Jorge Ivan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Nov 24th, 2021 - about 3 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 | 1982652657 | NPPES |
| Alabama | Other | 051596437 | BCBS |
| Alabama | Other | 051596435 | BCBS |
| Alabama | MEDICAID | 107325 | BCBS |
| Alabama | MEDICAID | 107326 | BCBS |
| Alabama | Other | 051113410 | BCBS |
| Alabama | MEDICAID | 125428 | BCBS |
| Alabama | Other | P00720170 | BCBS |
| Alabama | Other | 051596439 | BCBS |
| Alabama | MEDICAID | 107327 | BCBS |
Popular Providers
-
Anderson, Anne Elizabeth
6701 Fannin , Houston TX 77030 -
Greenwood, Jack M
120 N Country Rd , Port Jefferson NY 11777-2604 -
Payne, Mary S
1600 Medical Center Dr Ste B500, Huntington WV 25701-3656 -
Morris, Eugene Brannon
1086 1/2 Baxter St , Athens GA 30606-6316 -
Temple, John Peter
1836 South Ave , La Crosse WI 54601-5429 -
Singh, Priti
16W300 83Rd St Ste 100 , Burr Ridge IL 60527-5896 -
Cass, Paul R
10 Members Way Ste 300 , Dover NH 03820-5933 -
Castellanos, Peter W
2225 Teton Plz Ste B , Idaho Falls ID 83404-6494