Lopez, Mary Ruth Motomal
Lopez, Mary Ruth Motomal is an individual health care provider with primary practice located at 233 Warm Springs Ave , Martinsburg WV 25404-3825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lopez, Mary Ruth Motomal can be contacted via phone (304) 262-8686.Contact Information
Primary practice address
233 Warm Springs Ave
Martinsburg WV 25404-3825
Phone: (304) 262-8686
Fax: (240) 485-0916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22265 | West Virginia |
Profile Details
| NPI number | 1154371912 |
|---|---|
| LBN Legal business name | Lopez, Mary Ruth Motomal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Apr 12th, 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 | 1154371912 | NPPES |
| West Virginia | Other | P00966052 | RAIL ROAD MEDICARE |
| West Virginia | MEDICAID | 3810007064 | RAIL ROAD MEDICARE |
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