National Provider Identifier Database

DEMETRIUS V LEWIS
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

DEMETRIUS V LEWIS
1314 PAGODA DR
COLUMBUS, GA31907-4439
Phone: 706-593-8727
Fax:
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X
Licensed Practical Nurse 164W00000X

* Indicates primary specialty

NPI Profile & details for DEMETRIUS V LEWIS

NPI Number 1295093086
Credentials
Entity Individual
Enumeration date 04/30/2012
Last updated 04/30/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • GA License #: LPN052272
  • GA License #: NIIA005224
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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