Stewart, David Lewis

Stewart, David Lewis is an individual health care provider with primary practice located at 819 W Carpenter St , Benton AR 72015-3349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stewart, David Lewis can be contacted via phone (501) 778-8264.

Contact Information

Primary practice address
819 W Carpenter St Benton AR 72015-3349
Phone: (501) 778-8264
Fax: (501) 778-7360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-4760 Arkansas

Profile Details

NPI number 1851350128
LBN Legal business name Stewart, David Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated May 19th, 2008 - about 17 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 1851350128 NPPES
Arkansas Other 111430000 QUALCHOICE
Arkansas Other 5701012 QUALCHOICE
Arkansas MEDICAID 105474001 QUALCHOICE

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