Lewis, Jason

Lewis, Jason is an individual health care provider with primary practice located at 860 Lynn St , Lebanon MO 65536-3810. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lewis, Jason can be contacted via phone (417) 334-8337.

Contact Information

Primary practice address
860 Lynn St Lebanon MO 65536-3810
Phone: (417) 334-8337
Fax: (417) 532-2067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2018004810 Missouri

Profile Details

NPI number 1902305303
LBN Legal business name Lewis, Jason
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2018
Last updated Jan 17th, 2020 - about 4 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 1902305303 NPPES
Missouri MEDICAID 220051493

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