Lopez, Socorro

Lopez, Socorro is an sole proprietor health care provider with primary practice located at 520 N Main St , Belen NM 87002-3720. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Lopez, Socorro can be contacted via phone (505) 966-1866.

Contact Information

Primary practice address
520 N Main St Belen NM 87002-3720
Fax: (505) 966-1865
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 341207 New Mexico

Profile Details

NPI number 1295043156
LBN Legal business name Lopez, Socorro
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2010
Last updated Sep 14th, 2010 - about 15 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 1295043156 NPPES
New Mexico MEDICAID 341207

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