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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487653218 | NPPES |
| Idaho | MEDICAID | 003026200 |
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