Lewis, Debra Diane
Lewis, Debra Diane is an sole proprietor health care provider with primary practice located at 2001 Scioto Trl Ste 300 , Portsmouth OH 45662-5122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lewis, Debra Diane can be contacted via phone (740) 353-6390.Contact Information
Primary practice address
2001 Scioto Trl Ste 300
Portsmouth OH 45662-5122
Phone: (740) 353-6390
Fax: (740) 353-6290
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 58004527 | Ohio |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34.011210 | Ohio |
Profile Details
NPI number | 1447543970 |
---|---|
LBN Legal business name | Lewis, Debra Diane |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 17th, 2011 |
Last updated | Jun 8th, 2015 - about 9 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 | 1447543970 | NPPES |
Kentucky | MEDICAID | 7100320360 | |
Kentucky | MEDICAID | 0103055 |
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