Lewis, Marcus

Lewis, Marcus is an individual health care provider with primary practice located at 1550 E University Dr Suite G, Mesa AZ 85203-8136. He recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as his primary health care specialty. Lewis, Marcus can be contacted via phone (602) 369-3497.

Contact Information

Primary practice address
1550 E University Dr Suite G Mesa AZ 85203-8136
Phone: (602) 369-3497
Fax: (480) 921-4115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X 81-5054569 Arizona

Profile Details

NPI number 1760923726
LBN Legal business name Lewis, Marcus
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2017
Last updated Mar 10th, 2017 - 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 1760923726 NPPES
Arizona MEDICAID 81-5054569

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