Lewis, Brandon Douglas

Lewis, Brandon Douglas is an individual health care provider with primary practice located at 3527 W Truman Blvd , Jefferson City MO 65109-5901. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lewis, Brandon Douglas can be contacted via phone (573) 882-8910.

Contact Information

Primary practice address
3527 W Truman Blvd Jefferson City MO 65109-5901
Phone: (573) 882-8910
Fax: (573) 884-1585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2023003250 Missouri

Profile Details

NPI number 1821708496
LBN Legal business name Lewis, Brandon Douglas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2022
Last updated Mar 6th, 2025 - about last year

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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