Lewis, John Davison

Lewis, John Davison is an individual health care provider with primary practice located at 134 W Piccadilly Street , Winchester VA 22601. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lewis, John Davison can be contacted via phone (540) 667-1389.

Contact Information

Primary practice address
134 W Piccadilly Street Winchester VA 22601
Fax: (540) 667-1394
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810002168 Virginia

Profile Details

NPI number 1760563803
LBN Legal business name Lewis, John Davison
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Feb 28th, 2021 - about 3 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 1760563803 NPPES
Virginia Other 204045 ANTHEM
Virginia Other 254797000 ANTHEM
Virginia MEDICAID 010196451 ANTHEM

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