Ambrose, David Lewis

Ambrose, David Lewis is an sole proprietor health care provider with primary practice located at 434 E Norwegian St , Pottsville PA 17901-3684. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Ambrose, David Lewis can be contacted via phone (570) 622-1435.

Contact Information

Primary practice address
434 E Norwegian St Pottsville PA 17901-3684
Phone: (570) 622-1435
Fax: (570) 622-7902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AT-000023-L Pennsylvania

Profile Details

NPI number 1407886286
LBN Legal business name Ambrose, David Lewis
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
Last updated Jul 9th, 2007 - about 17 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 1407886286 NPPES
Pennsylvania MEDICAID 1007588990003

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