Lewis, Jacob

Lewis, Jacob is an individual health care provider with primary practice located at 809 North 19Th Street Selfrefind , Middlesboro KY 40965-1845. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Lewis, Jacob can be contacted via phone (865) 585-6681.

Contact Information

Primary practice address
809 North 19Th Street Selfrefind Middlesboro KY 40965-1845
Phone: (865) 585-6681
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1043425325
LBN Legal business name Lewis, Jacob
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Oct 7th, 2016 - about 10 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.

Request for update

Popular Providers