Lopez, Ricardo

Lopez, Ricardo is an sole proprietor health care provider with primary practice located at 1675 Cumberland Pkwy Se Ste 307 , Smyrna GA 30080-6361. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Lopez, Ricardo can be contacted via phone (678) 426-8443.

Contact Information

Primary practice address
1675 Cumberland Pkwy Se Ste 307 Smyrna GA 30080-6361
Phone: (678) 426-8443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1487235214
LBN Legal business name Lopez, Ricardo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2021
Last updated Apr 14th, 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 1487235214 NPPES
Georgia Other PHDME000614 DURABLE MEDICAL EQUIPMENT SUPPLIER LICENSE
Georgia Other 20284321254 DURABLE MEDICAL EQUIPMENT SUPPLIER LICENSE

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