Lewis, Jeanne Lynne

Lewis, Jeanne Lynne is an individual health care provider with primary practice located at 403 N State Of Franklin Rd , Johnson City TN 37604-6034. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Lewis, Jeanne Lynne can be contacted via phone (423) 431-7047.

Contact Information

Primary practice address
403 N State Of Franklin Rd Johnson City TN 37604-6034
Phone: (423) 431-7047
Fax: (423) 979-0569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 43602 Tennessee

Profile Details

NPI number 1508051772
LBN Legal business name Lewis, Jeanne Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2007
Last updated Feb 2nd, 2024 - about 10 months 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 1508051772 NPPES
Other P00877916 RR MEDICARE
MEDICAID 1508051772 RR MEDICARE
MEDICAID 1511958 RR MEDICARE

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