Lewis, Jaylene Marie
Lewis, Jaylene Marie is an sole proprietor health care provider with primary practice located at 140 Mount Tobe Rd , Plymouth CT 06782-2803. She recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as her primary health care specialty. Lewis, Jaylene Marie can be contacted via phone (860) 417-0624.Contact Information
Primary practice address
140 Mount Tobe Rd
Plymouth CT 06782-2803
Phone: (860) 417-0624
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X |
Profile Details
| NPI number | 1750922530 |
|---|---|
| LBN Legal business name | Lewis, Jaylene Marie |
| Credentials | NREMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2019 |
| Last updated | Oct 3rd, 2019 - about 6 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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