Lewis, Johnathan W

Lewis, Johnathan W is an individual health care provider with primary practice located at 430 Magnolia Rd , Camden AR 71701-4146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lewis, Johnathan W can be contacted via phone (870) 836-4709.

Contact Information

Primary practice address
430 Magnolia Rd Camden AR 71701-4146
Phone: (870) 836-4709
Fax: (870) 836-5837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E3971 Arkansas

Profile Details

NPI number 1699741298
LBN Legal business name Lewis, Johnathan W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Sep 14th, 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 1699741298 NPPES
Arkansas Other 05030029800 QUALCHOICE
Arkansas Other P00229512 QUALCHOICE
Arkansas MEDICAID 154567001 QUALCHOICE
Arkansas Other 0000252732102 QUALCHOICE
Arkansas Other 7165646 QUALCHOICE
Arkansas Other 771003001 QUALCHOICE

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