Lewis, Walter E.

Lewis, Walter E. is an individual health care provider with primary practice located at 1088 W Baltimore Pike Suite #2206, Media PA 19063-5146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lewis, Walter E. can be contacted via phone (610) 566-7601.

Contact Information

Primary practice address
1088 W Baltimore Pike Suite #2206 Media PA 19063-5146
Phone: (610) 566-7601
Fax: (610) 566-7605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD059944L Pennsylvania

Profile Details

NPI number 1396755625
LBN Legal business name Lewis, Walter E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jan 9th, 2013 - about 13 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 1396755625 NPPES
Pennsylvania Other 0084717000 IBC
Pennsylvania MEDICAID 0016236840004 IBC

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