Lewis, Christine G

Lewis, Christine G is an individual health care provider with primary practice located at 5346 Lyndale Ave S , Minneapolis MN 55419-1230. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lewis, Christine G can be contacted via phone (612) 823-3021.

Contact Information

Primary practice address
5346 Lyndale Ave S Minneapolis MN 55419-1230
Fax: (612) 746-5518
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 0147991 Minnesota

Profile Details

NPI number 1750430286
LBN Legal business name Lewis, Christine G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Nov 28th, 2016 - about 8 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 1750430286 NPPES
Minnesota MEDICAID 454718700

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