Lewis, Danasty Marie

Lewis, Danasty Marie is an individual health care provider with primary practice located at 3001 Warrior Lane , Poplar Bluff MO 63901. She recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as her primary health care specialty. Lewis, Danasty Marie can be contacted via phone (573) 686-1200.

Contact Information

Primary practice address
3001 Warrior Lane Poplar Bluff MO 63901
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X

Profile Details

NPI number 1568811354
LBN Legal business name Lewis, Danasty Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2016
Last updated Jun 13th, 2016 - 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.

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