Lewis, Mark G
Lewis, Mark G is an individual health care provider with primary practice located at 1200 E Michigan Ave Suite 345, Lansing MI 48912. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Lewis, Mark G can be contacted via phone (517) 364-6210.Contact Information
Primary practice address
1200 E Michigan Ave Suite 345
Lansing MI 48912
Phone: (517) 364-6210
Fax: (517) 364-2842
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 02000903A | Indiana |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 02000903A | Indiana |
Profile Details
NPI number | 1689613960 |
---|---|
LBN Legal business name | Lewis, Mark G |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 5th, 2006 |
Last updated | Jul 21st, 2022 - about 2 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 | 1689613960 | NPPES |
Indiana | MEDICAID | 100325730B |
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