Lewis, Shanelle

Lewis, Shanelle is an sole proprietor health care provider with primary practice located at 4484 Covington Hwy , Decatur GA 30035. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Laboratory Management, Technologists, Technicians & Other Technical Service Providers / Phlebotomy. Technologists, Technicians & Other Technical Service Providers / Phlebotomy is her primary health care specialty. Lewis, Shanelle can be contacted via phone (347) 313-2205.

Contact Information

Primary practice address
4484 Covington Hwy Decatur GA 30035
Phone: (347) 313-2205
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Laboratory Management 246QL0900X
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X

Profile Details

NPI number 1003392259
LBN Legal business name Lewis, Shanelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2018
Last updated Jul 13th, 2018 - about 6 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 1003392259 NPPES
Other NA NA

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