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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376052472 | NPPES |
| Texas | MEDICAID | 247200000 |
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