Lopez, Jose Luis
Lopez, Jose Luis is an sole proprietor health care provider with primary practice located at 6459 Sw County Road 18 Unit 4 , Fort White FL 32038-3464. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Lopez, Jose Luis can be contacted via phone (352) 474-9788.Contact Information
Primary practice address
6459 Sw County Road 18 Unit 4
Fort White FL 32038-3464
Phone: (352) 474-9788
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | Florida |
Profile Details
NPI number | 1255895348 |
---|---|
LBN Legal business name | Lopez, Jose Luis |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 23rd, 2019 |
Last updated | Jan 23rd, 2019 - about 5 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 | 1255895348 | NPPES |
Florida | MEDICAID | 474115030 |
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