Lewis, Robert D
Lewis, Robert D is an sole proprietor health care provider with primary practice located at 12700 Southfork Rd Ste 205, Saint Louis MO 63128-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lewis, Robert D can be contacted via phone (314) 842-0582.Contact Information
Primary practice address
12700 Southfork Rd Ste 205
Saint Louis MO 63128-3201
Phone: (314) 842-0582
Fax: (314) 842-6414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | R7002 | Missouri |
Profile Details
| NPI number | 1518964667 |
|---|---|
| LBN Legal business name | Lewis, Robert D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2005 |
| Last updated | May 14th, 2010 - about 15 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 | 1518964667 | NPPES |
| Missouri | MEDICAID | 201040805 |
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