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
Fax: (321) 622-6231
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417938382 NPPES
Florida MEDICAID 264822900

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