Lewis, David P.

Lewis, David P. is an individual health care provider with primary practice located at 990 South Medical Dr Suite G3, Brigham City UT 84302-3077. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Lewis, David P. can be contacted via phone (435) 734-2097.

Contact Information

Primary practice address
990 South Medical Dr Suite G3 Brigham City UT 84302-3077
Phone: (435) 734-2097
Fax: (435) 734-0532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 171336-1205 Utah
Other Service Providers / Specialist 174400000X 1713361205 Utah

Profile Details

NPI number 1487653218
LBN Legal business name Lewis, David P.
Credentials M.D. PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Mar 1st, 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 1487653218 NPPES
Idaho MEDICAID 003026200

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