Lopez, Jorge Luis

Lopez, Jorge Luis is an individual health care provider with primary practice located at 1650 Cochrane Cir Attn Credentials Office, Fort Carson CO 80913-4603. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lopez, Jorge Luis can be contacted via phone (719) 526-7844.

Contact Information

Primary practice address
1650 Cochrane Cir Attn Credentials Office Fort Carson CO 80913-4603
Phone: (719) 526-7844
Fax: (719) 526-7984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1104952209
LBN Legal business name Lopez, Jorge Luis
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 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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