Lewis, Kirk J
Lewis, Kirk J is an individual health care provider with primary practice located at 1188 University Dr , Boise ID 83706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Lewis, Kirk J can be contacted via phone (208) 336-8250.Contact Information
Primary practice address
1188 University Dr
Boise ID 83706
Phone: (208) 336-8250
Fax: (208) 345-9514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | M4960 | Idaho |
Profile Details
| NPI number | 1033115803 |
|---|---|
| LBN Legal business name | Lewis, Kirk J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Aug 16th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033115803 | NPPES |
| Idaho | MEDICAID | 1033115803 |
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