Lewin, Jack Roy

Lewin, Jack Roy is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Lewin, Jack Roy can be contacted via phone (601) 984-1530.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-1530
Fax: (601) 984-1531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 10322 Mississippi

Profile Details

NPI number 1033117445
LBN Legal business name Lewin, Jack Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2005
Last updated Nov 17th, 2015 - about 11 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 1033117445 NPPES
Alabama MEDICAID 178569
Alabama Other 220028560
Alabama Other P00340883
Alabama Other P01236759
Alabama Other P00454188
Alabama MEDICAID 00121874
Alabama Other 4004816

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