Lewis, John

Lewis, John is an individual health care provider with primary practice located at 810 W Forest Ave , Jackson TN 38301-3942. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Lewis, John can be contacted via phone (731) 668-1853.

Contact Information

Primary practice address
810 W Forest Ave Jackson TN 38301-3942
Phone: (731) 668-1853
Fax: (731) 664-7731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 10103 Tennessee

Profile Details

NPI number 1811983547
LBN Legal business name Lewis, John
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Feb 14th, 2012 - about 14 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 1811983547 NPPES
Tennessee MEDICAID 3626177

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