Taylor, Lewis Jerome

Taylor, Lewis Jerome is an individual health care provider with primary practice located at 1500 E Little Creek Road Suite 205, Norfolk VA 23518. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Taylor, Lewis Jerome can be contacted via phone (757) 587-4744.

Contact Information

Primary practice address
1500 E Little Creek Road Suite 205 Norfolk VA 23518
Phone: (757) 587-4744
Fax: (757) 587-4947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810001309 Virginia

Profile Details

NPI number 1609839596
LBN Legal business name Taylor, Lewis Jerome
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Aug 21st, 2015 - about 9 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 1609839596 NPPES
Virginia Other 279379 BCBS
Virginia MEDICAID 007746393 BCBS

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