Lewis, Carolyn Jeanne

Lewis, Carolyn Jeanne is an sole proprietor health care provider with primary practice located at 1102 Rose Hill Dr , Charlottesville VA 22903-5128. 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, Carolyn Jeanne can be contacted via phone (434) 979-8628.

Contact Information

Primary practice address
1102 Rose Hill Dr Charlottesville VA 22903-5128
Phone: (434) 979-8628
Fax: (434) 979-8536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 2305004871 Virginia

Profile Details

NPI number 1659649333
LBN Legal business name Lewis, Carolyn Jeanne
Credentials M.ED.,P.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2011
Last updated Dec 8th, 2011 - about 14 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 1659649333 NPPES
Virginia MEDICAID 4980671

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