Lewis, James B

Lewis, James B is an individual health care provider with primary practice located at 2025 Pine St , Sandpoint ID 83864-9327. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lewis, James B can be contacted via phone (208) 265-4558.

Contact Information

Primary practice address
2025 Pine St Sandpoint ID 83864-9327
Phone: (208) 265-4558
Fax: (208) 263-5721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3121 Idaho

Profile Details

NPI number 1487874293
LBN Legal business name Lewis, James B
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Aug 9th, 2010 - about 15 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 1487874293 NPPES
Idaho MEDICAID 0027842

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