Lewellen, Phillip E

Lewellen, Phillip E is an individual health care provider with primary practice located at 1995 E Oakland Park Blvd , Ft Lauderdale FL 33306-1147. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Lewellen, Phillip E can be contacted via phone (954) 791-6146.

Contact Information

Primary practice address
1995 E Oakland Park Blvd Ft Lauderdale FL 33306-1147
Phone: (954) 791-6146
Fax: (954) 337-2733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 551 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 551 Tennessee

Profile Details

NPI number 1134110356
LBN Legal business name Lewellen, Phillip E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Mar 13th, 2019 - about 6 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 1134110356 NPPES
Tennessee MEDICAID 3666998
Tennessee Other 4071394

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