Lewis, Jacqueline

Lewis, Jacqueline is an individual health care provider with primary practice located at 2480 Llewellyn Ave , Fort George G Meade MD 20755-5800. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lewis, Jacqueline can be contacted via phone (301) 677-8460.

Contact Information

Primary practice address
2480 Llewellyn Ave Fort George G Meade MD 20755-5800
Phone: (301) 677-8460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1053470336
LBN Legal business name Lewis, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 17 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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