Lopez, Marie A

Lopez, Marie A is an individual health care provider with primary practice located at 1950 Nw Myhre Rd Fl 3 , Silverdale WA 98383-7662. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Lopez, Marie A can be contacted via phone (564) 240-4200.

Contact Information

Primary practice address
1950 Nw Myhre Rd Fl 3 Silverdale WA 98383-7662
Phone: (564) 240-4200
Fax: (564) 240-4299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002283 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA61030329 Washington

Profile Details

NPI number 1003175621
LBN Legal business name Lopez, Marie A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2012
Last updated Feb 14th, 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 1003175621 NPPES
Washington MEDICAID 2154428

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