Bean, Lewis C
Bean, Lewis C is an sole proprietor health care provider with primary practice located at 1600 W Eau Gallie Blvd Suite 102 , Melbourne FL 32935. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bean, Lewis C can be contacted via phone (321) 726-0007.Contact Information
Primary practice address
1600 W Eau Gallie Blvd Suite 102
Melbourne FL 32935
Phone: (321) 726-0007
Fax: (321) 622-6231
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME85479 | Florida |
Profile Details
NPI number | 1417938382 |
---|---|
LBN Legal business name | Bean, Lewis C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 8th, 2005 |
Last updated | Feb 1st, 2018 - about 6 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 | 1417938382 | NPPES |
Florida | MEDICAID | 264822900 |
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