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Contact Information

JORDYN LOPEZ, MS, LAT, ATC
400 ATLANTIC CHRISTIAN COL DR NE
WILSON, NC27893-2505
 Phone: 440-231-7666
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for JORDYN LOPEZ · (Female)

NPI # 1114445152
Status Active
Credentials MS, LAT, ATC
Entity Individual
Enumeration date 08/30/2017
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • License # 2000032760
  • OH License # 0176569
  • OH Medicaid 105800774-00
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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