Lewis, Sandra Elaine

Lewis, Sandra Elaine is an individual health care provider with primary practice located at 146 W Dale St Suite 102, Waterloo IA 50703-1901. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Lewis, Sandra Elaine can be contacted via phone (319) 235-5050.

Contact Information

Primary practice address
146 W Dale St Suite 102 Waterloo IA 50703-1901
Phone: (319) 235-5050
Fax: (319) 235-5107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X B-094080 Iowa

Profile Details

NPI number 1588641658
LBN Legal business name Lewis, Sandra Elaine
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Feb 6th, 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 1588641658 NPPES
Iowa MEDICAID 0419200
Iowa MEDICAID 1419200
Iowa MEDICAID 2419200

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