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
Phone: (612) 823-3021
Fax: (612) 746-5518
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750430286 | NPPES |
Minnesota | MEDICAID | 454718700 |
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