Lewis, Eric Van
Lewis, Eric Van is an sole proprietor health care provider with primary practice located at 499 Gloster Creek Vlg Ste G1 , Tupelo MS 38801-4751. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Lewis, Eric Van can be contacted via phone (662) 377-2663.Contact Information
Primary practice address
499 Gloster Creek Vlg Ste G1
Tupelo MS 38801-4751
Phone: (662) 377-2663
Fax: (662) 840-5856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 20824 | Mississippi |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 20824 | Mississippi |
Profile Details
| NPI number | 1043229990 |
|---|---|
| LBN Legal business name | Lewis, Eric Van |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Jan 26th, 2023 - about last year |
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 | 1043229990 | NPPES |
| Mississippi | MEDICAID | 07451813 |
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