Lewis, Merral B
Lewis, Merral B is an individual health care provider with primary practice located at 350 W Columbia St Ste 440, Evansville IN 47710-1782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lewis, Merral B can be contacted via phone (812) 425-2461.Contact Information
Primary practice address
350 W Columbia St Ste 440
Evansville IN 47710-1782
Phone: (812) 425-2461
Fax: (812) 424-7254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01027625A | Indiana |
Profile Details
| NPI number | 1124021555 |
|---|---|
| LBN Legal business name | Lewis, Merral B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Mar 9th, 2011 - about 13 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 | 1124021555 | NPPES |
| Indiana | MEDICAID | 100242820 |
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