Joan S Bolanos Lopez, PA-C
Physician Assistant in Shallotte, North Carolina
1396532511- Practice location
- 5160 Ocean Hwy W, Shallotte, NC 28470-4012
- Phone
- 910-617-8325
- Fax
- —
- Last updated
- August 8, 2025
Joan Sebastian Bolanos Lopez is a Physician Assistant based in Shallotte, NC. Joan Sebastian Bolanos Lopez practices in Shallotte, NC and has the professional credentials of PA-C. The NPI Number for Joan Sebastian Bolanos Lopez is 1396532511 and holds a License No. 0010-15626 (NC). The current practice location address for Joan Sebastian Bolanos Lopez is 5160 Ocean Hwy W, Shallotte, NC 28470-4012 and can be reached out via phone at 910-617-8325.
Provider Profile Details
- NPI Number
- 1396532511
- Provider Name
- Joan Sebastian Bolanos Lopez
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5160 Ocean Hwy W, Shallotte, NC 28470-4012
- Phone Number
- 910-617-8325
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 22, 2025
- Last Update Date
- August 8, 2025
- Certification Date
- August 8, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5160 Ocean Hwy W
Shallotte, NC 28470-4012 - City
- Shallotte
- State
- North Carolina
- Zip
- 28470-4012
- Phone Number
- 910-617-8325
Provider Business Mailing Address Details
- Address
- Po Box 5105
Belfast, ME 04915-5100 - City
- Belfast
- State
- ME
- Zip
- 04915-5100
- Phone Number
- 919-220-5255
License Information
- License Number
- 0010-15626
- License State
- NC
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Shallotte, NC
View all Physician Assistants in Shallotte →Frequently Asked Questions
What is the NPI number of Joan S Bolanos Lopez, PA-C?
The NPI number of Joan S Bolanos Lopez, PA-C is 1396532511. It was assigned on April 22, 2025 and is currently active in the NPPES registry.
What is the specialty of Joan S Bolanos Lopez, PA-C?
Joan S Bolanos Lopez, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NC under license number 0010-15626.
Where does Joan S Bolanos Lopez, PA-C practice?
The practice location is 5160 Ocean Hwy W, Shallotte, NC 28470-4012. The office can be reached at 910-617-8325 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396532511 directly on the NPPES registry website.