Lopez, Martin J
Lopez, Martin J is an individual health care provider with primary practice located at 4525 S Klein Ave Ste 900, Oklahoma City OK 73109-3845. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Lopez, Martin J can be contacted via phone (405) 636-1797.Contact Information
Primary practice address
4525 S Klein Ave Ste 900
Oklahoma City OK 73109-3845
Phone: (405) 636-1797
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 16998 | Oklahoma |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 16998 | Oklahoma |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 16998 | Oklahoma |
Profile Details
| NPI number | 1013905942 |
|---|---|
| LBN Legal business name | Lopez, Martin J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Jan 7th, 2020 - 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 | 1013905942 | NPPES |
| Oklahoma | Other | 4460958 | AETNA |
| Oklahoma | MEDICAID | 100096400A | AETNA |
| Oklahoma | Other | 050032793 | AETNA |
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