Lewis, Gordon Wayne

Lewis, Gordon Wayne is an individual health care provider with primary practice located at 2010 Brookwood Medical Ctr Dr , Birmingham AL 35209-6804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lewis, Gordon Wayne can be contacted via phone (205) 989-1080.

Contact Information

Primary practice address
2010 Brookwood Medical Ctr Dr Birmingham AL 35209-6804
Fax: (205) 989-1087
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD.13774 Alabama

Profile Details

NPI number 1770589780
LBN Legal business name Lewis, Gordon Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Sep 8th, 2017 - about 8 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 1770589780 NPPES
Alabama MEDICAID 000081918

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