Lewis, David Jeffrey

Lewis, David Jeffrey is an individual health care provider with primary practice located at 591 N Shore Dr , Forest Lake MN 55025-1217. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lewis, David Jeffrey can be contacted via phone (651) 464-2133.

Contact Information

Primary practice address
591 N Shore Dr Forest Lake MN 55025-1217
Phone: (651) 464-2133
Fax: (651) 982-6903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1622 Minnesota

Profile Details

NPI number 1104968742
LBN Legal business name Lewis, David Jeffrey
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Aug 8th, 2012 - about 13 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 1104968742 NPPES
Minnesota MEDICAID 293727100

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