Lewis, Patricia Marie

Lewis, Patricia Marie is an sole proprietor health care provider with primary practice located at 1852 W Grand Blvd , Detroit MI 48208-1006. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is her primary health care specialty. Lewis, Patricia Marie can be contacted via phone (313) 894-8444.

Contact Information

Primary practice address
1852 W Grand Blvd Detroit MI 48208-1006
Phone: (313) 894-8444
Fax: (313) 894-5542
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X L528696 Michigan
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Michigan

Profile Details

NPI number 1679942080
LBN Legal business name Lewis, Patricia Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2015
Last updated Sep 16th, 2015 - about 10 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 1679942080 NPPES
Michigan MEDICAID 38-1917278

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