Lewis, Jacqueline

Lewis, Jacqueline is an individual health care provider with primary practice located at 3521 Briarfield Blvd , Maumee OH 43537-9387. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Lewis, Jacqueline can be contacted via phone (419) 794-7259.

Contact Information

Primary practice address
3521 Briarfield Blvd Maumee OH 43537-9387
Phone: (419) 794-7259
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X COBA.00572 Ohio

Profile Details

NPI number 1760928840
LBN Legal business name Lewis, Jacqueline
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2017
Last updated Jan 3rd, 2023 - about 3 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 1760928840 NPPES
Ohio MEDICAID 2846675

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