Hadley, David Lewis

Hadley, David Lewis is an individual health care provider with primary practice located at 1920 N Broadway Ave , Shawnee OK 74804-3722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hadley, David Lewis can be contacted via phone (405) 273-7879.

Contact Information

Primary practice address
1920 N Broadway Ave Shawnee OK 74804-3722
Fax: (405) 273-7885
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18911 Oklahoma

Profile Details

NPI number 1023070679
LBN Legal business name Hadley, David Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Apr 26th, 2017 - about 7 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 1023070679 NPPES
Oklahoma MEDICAID 100164890A

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