Lewis, Nicholas J
Lewis, Nicholas J is an individual health care provider with primary practice located at 3101 E State St Ste And2107 , Eagle ID 83616-6232. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Lewis, Nicholas J can be contacted via phone (208) 473-3500.Contact Information
Primary practice address
3101 E State St Ste And2107
Eagle ID 83616-6232
Phone: (208) 473-3500
Fax: (208) 473-3510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M-11279 | Idaho |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M-11279 | Idaho |
Profile Details
| NPI number | 1134372386 |
|---|---|
| LBN Legal business name | Lewis, Nicholas J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2008 |
| Last updated | Mar 1st, 2024 - about 9 months 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 | 1134372386 | NPPES |
| Idaho | MEDICAID | 1134372386 |
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