Lewis, Herbert Anderson

Lewis, Herbert Anderson is an sole proprietor health care provider with primary practice located at St Mary'S Hospitalist Group 1808 W Main St, Russellville AR 72801-2724. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lewis, Herbert Anderson can be contacted via phone (479) 964-4178.

Contact Information

Primary practice address
St Mary'S Hospitalist Group 1808 W Main St Russellville AR 72801-2724
Phone: (479) 964-4178
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-7839 Arkansas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X E-7839 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-7839 Arkansas

Profile Details

NPI number 1558657635
LBN Legal business name Lewis, Herbert Anderson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2011
Last updated Aug 5th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558657635 NPPES
Arkansas MEDICAID 199346001

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