Lewis, Debra Diane

Lewis, Debra Diane is an sole proprietor health care provider with primary practice located at 2001 Scioto Trl Ste 300 , Portsmouth OH 45662-5122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lewis, Debra Diane can be contacted via phone (740) 353-6390.

Contact Information

Primary practice address
2001 Scioto Trl Ste 300 Portsmouth OH 45662-5122
Phone: (740) 353-6390
Fax: (740) 353-6290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 58004527 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.011210 Ohio

Profile Details

NPI number 1447543970
LBN Legal business name Lewis, Debra Diane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2011
Last updated Jun 8th, 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 1447543970 NPPES
Kentucky MEDICAID 7100320360
Kentucky MEDICAID 0103055

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