Lewis, Mary Jane

Lewis, Mary Jane is an individual health care provider with primary practice located at 1370 W D St , N Wilkesboro NC 28659-3506. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Lewis, Mary Jane can be contacted via phone (336) 651-8100.

Contact Information

Primary practice address
1370 W D St N Wilkesboro NC 28659-3506
Phone: (336) 651-8100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 172991 North Carolina

Profile Details

NPI number 1144224114
LBN Legal business name Lewis, Mary Jane
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Aug 31st, 2007 - about 19 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 1144224114 NPPES
North Carolina MEDICAID 8051430

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