Lewis, Mikala Montine

Lewis, Mikala Montine is an individual health care provider with primary practice located at 4816 Bailey Dr , Granite City IL 62040-2681. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lewis, Mikala Montine can be contacted via phone (618) 791-6926.

Contact Information

Primary practice address
4816 Bailey Dr Granite City IL 62040-2681
Phone: (618) 791-6926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2018038103 Missouri

Profile Details

NPI number 1629542857
LBN Legal business name Lewis, Mikala Montine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2019
Last updated Jan 22nd, 2019 - about 6 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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