Lewis, Ericka Nicole
Lewis, Ericka Nicole is an sole proprietor health care provider with primary practice located at 812 16Th Ave Se , Ruskin FL 33570-6013. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Lewis, Ericka Nicole can be contacted via phone (813) 476-8343.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | 236831 | Florida |
Profile Details
| NPI number | 1740901776 |
|---|---|
| LBN Legal business name | Lewis, Ericka Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2022 |
| Last updated | Sep 7th, 2022 - about 3 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 | 1740901776 | NPPES |
| Florida | MEDICAID | 833874018 |
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