Lewis, Jeffrey D.

Lewis, Jeffrey D. is an individual health care provider with primary practice located at 400 E 3Rd St Essentia Health Duluth Clinic, Duluth MN 55805-1951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lewis, Jeffrey D. can be contacted via phone (218) 786-3317.

Contact Information

Primary practice address
400 E 3Rd St Essentia Health Duluth Clinic Duluth MN 55805-1951
Phone: (218) 786-3317
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36348-020 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36348 Wisconsin

Profile Details

NPI number 1376531871
LBN Legal business name Lewis, Jeffrey D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Sep 28th, 2016 - about 8 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 1376531871 NPPES
Wisconsin MEDICAID 32103000

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