Lewis, Amy H

Lewis, Amy H is an individual health care provider with primary practice located at 58 Warren St , Charleston SC 29403-6133. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Lewis, Amy H can be contacted via phone (843) 579-0731.

Contact Information

Primary practice address
58 Warren St Charleston SC 29403-6133
Fax: (843) 720-8562
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 2570 South Carolina

Profile Details

NPI number 1639247406
LBN Legal business name Lewis, Amy H
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 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 1639247406 NPPES
South Carolina MEDICAID TH1352

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