Lewis, Bradley Jonathan

Lewis, Bradley Jonathan is an individual health care provider with primary practice located at 1147 E Main St , Lancaster OH 43130-4056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lewis, Bradley Jonathan can be contacted via phone (740) 687-9173.

Contact Information

Primary practice address
1147 E Main St Lancaster OH 43130-4056
Phone: (740) 687-9173
Fax: (740) 689-3740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35056043 Ohio

Profile Details

NPI number 1063414670
LBN Legal business name Lewis, Bradley Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Oct 9th, 2012 - about 12 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 1063414670 NPPES
Ohio MEDICAID 0697929

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