Lewis, Carol Althea
Lewis, Carol Althea is an sole proprietor health care provider with primary practice located at 12101 Ronda Ln , North Port FL 34287-1468. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Lewis, Carol Althea can be contacted via phone (941) 426-7707.Contact Information
Primary practice address
12101 Ronda Ln
North Port FL 34287-1468
Phone: (941) 426-7707
Fax: (941) 426-7707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | 6905687 | Florida |
Profile Details
| NPI number | 1326485186 |
|---|---|
| LBN Legal business name | Lewis, Carol Althea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2013 |
| Last updated | Jun 3rd, 2013 - about 11 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 | 1326485186 | NPPES |
| Florida | MEDICAID | 1417657 |
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