Lewis, Gary William

Lewis, Gary William is an individual health care provider with primary practice located at 1265 Wayne Ave Ste 306 , Indiana PA 15701-3501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Lewis, Gary William can be contacted via phone (724) 463-9701.

Contact Information

Primary practice address
1265 Wayne Ave Ste 306 Indiana PA 15701-3501
Phone: (724) 463-9701
Fax: (724) 463-9702
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD040211L Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X D0059982 Maryland
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD040211L Pennsylvania

Profile Details

NPI number 1871574202
LBN Legal business name Lewis, Gary William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Apr 13th, 2021 - about 5 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 1871574202 NPPES
Mh Other 63366502 BC/BS
Mh Other 110868 BC/BS
Mh MEDICAID 2007547000 BC/BS
Mh Other 3536055 BC/BS
Mh MEDICAID 402544000 BC/BS
Mh Other 867633 BC/BS
Mh Other 1759448 BC/BS
Mh Other 3979804 BC/BS
Mh Other 1007307260040 BC/BS
Mh Other 5127062 BC/BS
Mh Other 145744300 BC/BS
Mh Other 5121416 BC/BS
Mh Other B3890008 BC/BS

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