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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639279177 NPPES
Indiana Other P01054054 RR MEDICARE

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