Abraham Lewis, Grace M.
Abraham Lewis, Grace M. is an sole proprietor health care provider with primary practice located at 8043 Winding Wood Rd Apt 14 , Glen Burnie MD 21061-6539. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Abraham Lewis, Grace M. can be contacted via phone (443) 449-9991.Contact Information
Primary practice address
8043 Winding Wood Rd Apt 14
Glen Burnie MD 21061-6539
Phone: (443) 449-9991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LC8137 | Maryland |
Profile Details
| NPI number | 1295187540 |
|---|---|
| LBN Legal business name | Abraham Lewis, Grace M. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2016 |
| Last updated | Jan 16th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295187540 | NPPES |
| Maryland | MEDICAID | A-165-288-566-121 | |
| Maryland | MEDICAID | 1295187540 |
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