Johnson, Lewis W

Johnson, Lewis W is an individual health care provider with primary practice located at 3229 E Genesee St Joslin Center, Syracuse NY 13214-2016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Johnson, Lewis W can be contacted via phone (315) 464-5726.

Contact Information

Primary practice address
3229 E Genesee St Joslin Center Syracuse NY 13214-2016
Phone: (315) 464-5726
Fax: (315) 464-2500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 094658 New York

Profile Details

NPI number 1689615965
LBN Legal business name Johnson, Lewis W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Oct 20th, 2010 - about 15 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 1689615965 NPPES
New York MEDICAID 00629016

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