Dixon, Lewis

Dixon, Lewis is an individual health care provider with primary practice located at 25 Ikea Dr , Westampton NJ 08060-5115. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Dixon, Lewis can be contacted via phone (609) 267-9339.

Contact Information

Primary practice address
25 Ikea Dr Westampton NJ 08060-5115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1982050621
LBN Legal business name Dixon, Lewis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2016
Last updated May 12th, 2016 - about 8 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 1982050621 NPPES
New Jersey MEDICAID 210634494

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