Lewis, Roy
Lewis, Roy is an sole proprietor health care provider with primary practice located at 982 Dale St N , Saint Paul MN 55117-5602. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Nursing Service Providers / Registered Nurse. Chiropractic Providers / Chiropractor is his primary health care specialty. Lewis, Roy can be contacted via phone (651) 488-1332.Contact Information
Primary practice address
982 Dale St N
Saint Paul MN 55117-5602
Phone: (651) 488-1332
Fax: (651) 488-1889
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 3053 | Minnesota |
Nursing Service Providers / Registered Nurse | 163W00000X | R 201129-1 | Minnesota |
Profile Details
NPI number | 1225095854 |
---|---|
LBN Legal business name | Lewis, Roy |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 27th, 2006 |
Last updated | Feb 9th, 2017 - about 7 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 | 1225095854 | NPPES |
Minnesota | Other | 3C067LE | BLUE CROSS BLUE SHIELD |
Minnesota | MEDICAID | 878528700 | BLUE CROSS BLUE SHIELD |
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