Lopez, Michelle A

Lopez, Michelle A is an individual health care provider with primary practice located at 1504 S Commercial St , Neenah WI 54956-4802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lopez, Michelle A can be contacted via phone (920) 729-6088.

Contact Information

Primary practice address
1504 S Commercial St Neenah WI 54956-4802
Phone: (920) 729-6088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43331-020 Wisconsin

Profile Details

NPI number 1780618728
LBN Legal business name Lopez, Michelle A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Mar 6th, 2012 - about 13 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 1780618728 NPPES
Wisconsin MEDICAID 34120700

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