Lewis, Gerald C
Lewis, Gerald C is an sole proprietor health care provider with primary practice located at 9120 Connecticut St Ste A , Merrillville IN 46410-7015. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Lewis, Gerald C can be contacted via phone (219) 793-1233.Contact Information
Primary practice address
9120 Connecticut St Ste A
Merrillville IN 46410-7015
Phone: (219) 793-1233
Fax: (219) 793-1244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 70000167 | Indiana |
Profile Details
| NPI number | 1639279177 |
|---|---|
| LBN Legal business name | Lewis, Gerald C |
| Credentials | CNS, BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Nov 13th, 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 | 1639279177 | NPPES |
| Indiana | Other | P01054054 | RR MEDICARE |
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