Lewis, James M.

Lewis, James M. is an individual health care provider with primary practice located at 3711 State Highway 42 , Fish Creek WI 54212-9630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lewis, James M. can be contacted via phone (920) 868-3511.

Contact Information

Primary practice address
3711 State Highway 42 Fish Creek WI 54212-9630
Phone: (920) 868-3511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16028 Wisconsin

Profile Details

NPI number 1326057639
LBN Legal business name Lewis, James M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Feb 21st, 2014 - about 10 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 1326057639 NPPES
Wisconsin MEDICAID 31191500

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