Perez-Lopez, Edwin

Perez-Lopez, Edwin is an individual health care provider with primary practice located at 83 Wellness Way Ste 101&201 , Benton KY 42025-7156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perez-Lopez, Edwin can be contacted via phone (270) 527-0045.

Contact Information

Primary practice address
83 Wellness Way Ste 101&201 Benton KY 42025-7156
Phone: (270) 527-0045
Fax: (270) 527-9615
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39144 Kentucky

Profile Details

NPI number 1447272299
LBN Legal business name Perez-Lopez, Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Dec 4th, 2023 - 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 1447272299 NPPES
Kentucky MEDICAID 64106602

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