Aldred, Lewis Wesley

Aldred, Lewis Wesley is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Aldred, Lewis Wesley can be contacted via phone (601) 268-5650.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Fax: (601) 579-5212
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23552 Mississippi
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 23552 Mississippi

Profile Details

NPI number 1720428121
LBN Legal business name Aldred, Lewis Wesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2013
Last updated Mar 26th, 2020 - about 5 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 1720428121 NPPES
Mississippi MEDICAID 02504301

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