Lopez, Jose

Lopez, Jose is an individual health care provider with primary practice located at 130 Fisher Rd Ste 3-1 , Berlin VT 05602-9000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lopez, Jose can be contacted via phone (802) 225-9000.

Contact Information

Primary practice address
130 Fisher Rd Ste 3-1 Berlin VT 05602-9000
Phone: (802) 225-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 224329 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD461662 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042-0013453 Vermont

Profile Details

NPI number 1316981897
LBN Legal business name Lopez, Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Aug 25th, 2022 - 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 1316981897 NPPES
New York MEDICAID 02618133

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