Lewis, Richard
Lewis, Richard is an sole proprietor health care provider with primary practice located at 11649 N Port Washington Rd Ste 114 , Mequon WI 53092-3461. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lewis, Richard can be contacted via phone (262) 235-3800.Contact Information
Primary practice address
11649 N Port Washington Rd Ste 114
Mequon WI 53092-3461
Phone: (262) 235-3800
Fax: (262) 236-9726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36985 | Wisconsin |
Profile Details
| NPI number | 1306819305 |
|---|---|
| LBN Legal business name | Lewis, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Apr 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306819305 | NPPES |
| Wisconsin | MEDICAID | 32308200 |
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