Lewis, Justin

Lewis, Justin is an individual health care provider with primary practice located at 3070 College St Ste 401, Beaumont TX 77701-4691. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Lewis, Justin can be contacted via phone (409) 839-0088.

Contact Information

Primary practice address
3070 College St Ste 401 Beaumont TX 77701-4691
Phone: (409) 839-0088
Fax: (318) 300-4728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X P6016 Texas

Profile Details

NPI number 1558689182
LBN Legal business name Lewis, Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2010
Last updated Apr 1st, 2015 - 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 1558689182 NPPES
Texas MEDICAID 3344285

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