Bader, Lewis M
Bader, Lewis M is an sole proprietor health care provider with primary practice located at 2660 Main St Suite 103, Bridgeport CT 06606-5369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bader, Lewis M can be contacted via phone (203) 683-4540.Contact Information
Primary practice address
2660 Main St Suite 103
Bridgeport CT 06606-5369
Phone: (203) 683-4540
Fax: (203) 926-1415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 015987 | Connecticut |
Profile Details
| NPI number | 1033115910 |
|---|---|
| LBN Legal business name | Bader, Lewis M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Jan 7th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033115910 | NPPES |
| Connecticut | MEDICAID | 001159870 |
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