Lewis, Marissa Lynn
Lewis, Marissa Lynn is an individual health care provider with primary practice located at 1482 Spring Garden Ave , Lakewood OH 44107-3410. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Lewis, Marissa Lynn can be contacted via phone (216) 527-5016.Contact Information
Primary practice address
1482 Spring Garden Ave
Lakewood OH 44107-3410
Phone: (216) 527-5016
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Ohio |
Profile Details
| NPI number | 1609321264 |
|---|---|
| LBN Legal business name | Lewis, Marissa Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2016 |
| Last updated | Aug 23rd, 2016 - about 9 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 | 1609321264 | NPPES |
| Ohio | MEDICAID | 10213707500 |
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