Lewis, Charles

Lewis, Charles is an individual health care provider with primary practice located at 1301 Wilson Rd , Little Rock AR 72205-6659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lewis, Charles can be contacted via phone (501) 225-0576.

Contact Information

Primary practice address
1301 Wilson Rd Little Rock AR 72205-6659
Fax: (501) 225-6789
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C7945 Arkansas

Profile Details

NPI number 1376540765
LBN Legal business name Lewis, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Oct 15th, 2007 - about 17 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 1376540765 NPPES
Arkansas Other 54930 LOCAL BCBS
Arkansas Other 1932174836 LOCAL BCBS

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