Lewis, Jessica

Lewis, Jessica is an individual health care provider with primary practice located at 1702 N Collins Blvd , Richardson TX 75080-3566. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Lewis, Jessica can be contacted via phone (469) 607-9500.

Contact Information

Primary practice address
1702 N Collins Blvd Richardson TX 75080-3566
Phone: (469) 607-9500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1376052472
LBN Legal business name Lewis, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2017
Last updated Jul 21st, 2022 - about 2 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 1376052472 NPPES
Texas MEDICAID 247200000

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