Lewis, Richard Mark

Lewis, Richard Mark is an individual health care provider with primary practice located at 719 Green Valley Rd Ste 306 , Greensboro NC 27408-7026. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lewis, Richard Mark can be contacted via phone (336) 275-6470.

Contact Information

Primary practice address
719 Green Valley Rd Ste 306 Greensboro NC 27408-7026
Phone: (336) 275-6470
Fax: (336) 275-6474
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1779 North Carolina

Profile Details

NPI number 1114967056
LBN Legal business name Lewis, Richard Mark
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 13th, 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 1114967056 NPPES
North Carolina Other 5441630 AETNA
North Carolina Other 0475K AETNA
North Carolina Other 58893 AETNA

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