Lewis, Gary
Lewis, Gary is an sole proprietor health care provider with primary practice located at 801 5Th St , Sioux City IA 51101-1394. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Lewis, Gary can be contacted via phone (701) 279-2010.Contact Information
Primary practice address
801 5Th St
Sioux City IA 51101-1394
Phone: (701) 279-2010
Fax: (701) 279-5649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 00416 | Iowa |
Profile Details
| NPI number | 1740285774 |
|---|---|
| LBN Legal business name | Lewis, Gary |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Apr 28th, 2008 - about 16 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 | 1740285774 | NPPES |
| Iowa | MEDICAID | 0140111 | |
| Iowa | Other | 54513 |
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