Lewis, Jonathan A.
Lewis, Jonathan A. is an sole proprietor health care provider with primary practice located at 85 E Spring Ave , Ardmore PA 19003-2143. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Lewis, Jonathan A. can be contacted via phone (610) 316-2887.Contact Information
Primary practice address
85 E Spring Ave
Ardmore PA 19003-2143
Phone: (610) 316-2887
Fax: (215) 438-4159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC000948 | Pennsylvania |
Profile Details
| NPI number | 1316154768 |
|---|---|
| LBN Legal business name | Lewis, Jonathan A. |
| Credentials | MHS, LPC, CAC, CCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2007 |
| Last updated | Mar 3rd, 2016 - about 8 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 | 1316154768 | NPPES |
| Pennsylvania | MEDICAID | 1316154768 |
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