Lewis, Jennifer L

Lewis, Jennifer L is an individual health care provider with primary practice located at 157 Waterdam Rd Ste 120 , Mc Murray PA 15317-2573. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Lewis, Jennifer L can be contacted via phone (724) 941-6697.

Contact Information

Primary practice address
157 Waterdam Rd Ste 120 Mc Murray PA 15317-2573
Fax: (724) 941-7563
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD069652L Pennsylvania

Profile Details

NPI number 1598766115
LBN Legal business name Lewis, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Oct 7th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598766115 NPPES
Pennsylvania MEDICAID 001808956

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