Lewis, Adam
Lewis, Adam is an individual health care provider with primary practice located at 6051 U S Highway 49 , Hattiesburg MS 39401-7200. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Other Service Providers / Military Health Care Provider. Other Service Providers / Military Health Care Provider is his primary health care specialty. Lewis, Adam can be contacted via phone (601) 288-2690.Contact Information
Primary practice address
6051 U S Highway 49
Hattiesburg MS 39401-7200
Phone: (601) 288-2690
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00597 | Mississippi |
| Other Service Providers / Military Health Care Provider | 171000000X |
Profile Details
| NPI number | 1235771239 |
|---|---|
| LBN Legal business name | Lewis, Adam |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2019 |
| Last updated | Oct 5th, 2021 - about 4 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 | 1235771239 | NPPES |
| Other | 1111054882 | U.S. ARMY |
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