Lewis, Michael M

Lewis, Michael M is an individual health care provider with primary practice located at 2100 Charlie Hall Blvd , Charleston SC 29414-5832. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Lewis, Michael M can be contacted via phone (843) 852-4100.

Contact Information

Primary practice address
2100 Charlie Hall Blvd Charleston SC 29414-5832
Phone: (843) 852-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1083274070
LBN Legal business name Lewis, Michael M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2019
Last updated Jun 20th, 2019 - about 5 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 1083274070 NPPES
South Carolina MEDICAID 1760596480

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