Lewis, Joan Kathryn

Lewis, Joan Kathryn is an sole proprietor health care provider with primary practice located at 2911 Vercauteren Dr , Green Bay WI 54313-5847. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Lewis, Joan Kathryn can be contacted via phone (920) 347-9793.

Contact Information

Primary practice address
2911 Vercauteren Dr Green Bay WI 54313-5847
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X Wisconsin

Profile Details

NPI number 1316158728
LBN Legal business name Lewis, Joan Kathryn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2007
Last updated Jul 9th, 2007 - about 17 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 1316158728 NPPES
Wisconsin MEDICAID 39860300

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