Bateman, Lewis Lee
Bateman, Lewis Lee is an sole proprietor health care provider with primary practice located at 125 Oakland Ave Suite 205 Mather Primary Care, Port Jefferson NY 11777. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bateman, Lewis Lee can be contacted via phone (631) 686-2523.Contact Information
Primary practice address
125 Oakland Ave Suite 205 Mather Primary Care
Port Jefferson NY 11777
Phone: (631) 686-2523
Fax: (631) 686-2525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 124006 | New York |
Profile Details
| NPI number | 1396749669 |
|---|---|
| LBN Legal business name | Bateman, Lewis Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Oct 24th, 2013 - about 12 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 | 1396749669 | NPPES |
| New York | MEDICAID | 00349642 |
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