Lewis, Alicia Elizabeth

Lewis, Alicia Elizabeth is an individual health care provider with primary practice located at 520 Dudley St , Roxbury MA 02119-2769. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Lewis, Alicia Elizabeth can be contacted via phone (617) 989-9499.

Contact Information

Primary practice address
520 Dudley St Roxbury MA 02119-2769
Phone: (617) 989-9499
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1518488840
LBN Legal business name Lewis, Alicia Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2017
Last updated Jun 27th, 2017 - about 7 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 1518488840 NPPES
Massachusetts Other 100049498791 MASSHEALTH

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