Lewis, David
Lewis, David is an sole proprietor health care provider with primary practice located at 50 Baker Blvd Ste 5A , Fairlawn OH 44333-3603. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Lewis, David can be contacted via phone (216) 772-3188.Contact Information
Primary practice address
50 Baker Blvd Ste 5A
Fairlawn OH 44333-3603
Phone: (216) 772-3188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 173043 | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.177035 | Ohio |
Profile Details
| NPI number | 1386253029 |
|---|---|
| LBN Legal business name | Lewis, David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2020 |
| Last updated | Dec 29th, 2021 - about 3 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 | 1386253029 | NPPES |
| Ohio | MEDICAID | 0411945 |
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