Lewis, Madeline Rose

Lewis, Madeline Rose is an individual health care provider with primary practice located at 2727 S Pennsylvania Ave , Lansing MI 48910-3488. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lewis, Madeline Rose can be contacted via phone (517) 975-3750.

Contact Information

Primary practice address
2727 S Pennsylvania Ave Lansing MI 48910-3488
Phone: (517) 975-3750
Fax: (517) 975-3755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02001093A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101020162 Michigan

Profile Details

NPI number 1386635654
LBN Legal business name Lewis, Madeline Rose
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Dec 14th, 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 1386635654 NPPES
Indiana MEDICAID 200048620
Indiana MEDICAID 1385535654

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