Lewis, Petrina Celeste

Lewis, Petrina Celeste is an sole proprietor health care provider with primary practice located at 9343 E Shea Blvd # B-130 , Scottsdale AZ 85260-6802. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Lewis, Petrina Celeste can be contacted via phone (425) 277-3668.

Contact Information

Primary practice address
9343 E Shea Blvd # B-130 Scottsdale AZ 85260-6802
Phone: (425) 277-3668
Fax: (425) 277-0732
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P000000595 Washington

Profile Details

NPI number 1215935457
LBN Legal business name Lewis, Petrina Celeste
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Jul 28th, 2021 - about 3 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 1215935457 NPPES
Washington MEDICAID 7110729
Washington Other 156354
Washington Other POD000986

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