Lewis, Stefanie Kristine
Lewis, Stefanie Kristine is an individual health care provider with primary practice located at 1045 Channingway Dr , Fairborn OH 45324-9252. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lewis, Stefanie Kristine can be contacted via phone (937) 878-8645.Contact Information
Primary practice address
1045 Channingway Dr
Fairborn OH 45324-9252
Phone: (937) 878-8645
Fax: (937) 878-8646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35.129803 | Ohio |
Profile Details
| NPI number | 1053758441 |
|---|---|
| LBN Legal business name | Lewis, Stefanie Kristine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2013 |
| Last updated | Jan 18th, 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 | 1053758441 | NPPES |
| Ohio | MEDICAID | 0220395 |
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