James Lewis
Individual provider Active NPI Private Vehicle · Axton, VA
NPI 1861966590 · NPPES record last updated Jan 16, 2019
Key facts
- NPI
- 1861966590
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Private Vehicle 347C00000X
- Practice address
- 7455 Axton Rd
Axton, VA 24054-3584 - Phone
- (276) 833-2144
- NPI assigned
- Jan 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Yes |
Addresses
Primary practice location
7455 Axton Rd
Axton, VA 24054-3584
Mailing address
7455 Axton Rd
Axton, VA 24054-3584
Other providers in Axton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.