Lewis, Beverly A
Lewis, Beverly A is an individual health care provider with primary practice located at 1058 E Worthy St Ste B , Gonzales LA 70737-4302. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Lewis, Beverly A can be contacted via phone (225) 258-7322.Contact Information
Primary practice address
1058 E Worthy St Ste B
Gonzales LA 70737-4302
Phone: (225) 258-7322
Fax: (225) 450-3799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1154836625 |
|---|---|
| LBN Legal business name | Lewis, Beverly A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2017 |
| Last updated | Dec 6th, 2017 - 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 | 1154836625 | NPPES |
| Louisiana | MEDICAID | 13669815587 |
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