Lewis, Gina

Lewis, Gina is an individual health care provider with primary practice located at 5900 E University Ave , Pleasant Hill IA 50327-8457. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lewis, Gina can be contacted via phone (515) 643-2400.

Contact Information

Primary practice address
5900 E University Ave Pleasant Hill IA 50327-8457
Fax: (515) 643-4766
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A8870 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3532 Iowa

Profile Details

NPI number 1134208523
LBN Legal business name Lewis, Gina
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2006
Last updated Feb 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134208523 NPPES
California Other 1932415 GREAT WEST
California Other 90198225 GREAT WEST
California Other 2689213 GREAT WEST
California Other 70271 GREAT WEST
California MEDICAID 0400165 GREAT WEST
California Other 20A8870 GREAT WEST
California MEDICAID 00AX88700 GREAT WEST
California Other 161241 GREAT WEST

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