Lewis, Bruce Donald

Lewis, Bruce Donald is an individual health care provider with primary practice located at 2719 Pulaski Hwy , Edgewood MD 21040-1315. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lewis, Bruce Donald can be contacted via phone (410) 612-0374.

Contact Information

Primary practice address
2719 Pulaski Hwy Edgewood MD 21040-1315
Phone: (410) 612-0374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0002016 Maryland

Profile Details

NPI number 1205995578
LBN Legal business name Lewis, Bruce Donald
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 19 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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