Lopez, Susana

Lopez, Susana is an individual health care provider with primary practice located at 855 Sequoia Cir , Fort Bragg CA 95437-5466. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Lopez, Susana can be contacted via phone (707) 964-1251.

Contact Information

Primary practice address
855 Sequoia Cir Fort Bragg CA 95437-5466
Phone: (707) 964-1251
Fax: (707) 961-2722
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1669604286
LBN Legal business name Lopez, Susana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2009
Last updated Aug 14th, 2009 - 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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