Lewallen, Brent Frank
Lewallen, Brent Frank is an individual health care provider with primary practice located at 909 Linway Dr Suite 1, Goshen IN 46526-2431. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lewallen, Brent Frank can be contacted via phone (574) 534-4400.Contact Information
Primary practice address
909 Linway Dr Suite 1
Goshen IN 46526-2431
Phone: (574) 534-4400
Fax: (574) 534-5855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 08001227A | Illinois |
Profile Details
| NPI number | 1871520122 |
|---|---|
| LBN Legal business name | Lewallen, Brent Frank |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | May 5th, 2015 - about 9 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 | 1871520122 | NPPES |
| Indiana | MEDICAID | 100366320 |
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