Lopez, Manuel Emilio

Lopez, Manuel Emilio is an individual health care provider with primary practice located at 4500 Memorial Dr , Belleville IL 62226. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Lopez, Manuel Emilio can be contacted via phone (618) 257-6220.

Contact Information

Primary practice address
4500 Memorial Dr Belleville IL 62226
Phone: (618) 257-6220
Fax: (618) 257-6679
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036-147907 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9401258 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-147907 Illinois

Profile Details

NPI number 1437158052
LBN Legal business name Lopez, Manuel Emilio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Mar 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437158052 NPPES
North Carolina MEDICAID 8952841

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