Lewis, John David

Lewis, John David is an sole proprietor health care provider with primary practice located at 896 Widdison Ln , Rexburg ID 83440-5061. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lewis, John David can be contacted via phone (208) 356-8726.

Contact Information

Primary practice address
896 Widdison Ln Rexburg ID 83440-5061
Phone: (208) 356-8726
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1518029180
LBN Legal business name Lewis, John David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 9th, 2007 - about 19 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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