Lewis, Stephanie Louise

Lewis, Stephanie Louise is an individual health care provider with primary practice located at 43 Town Center Sq Ste 102 , Hattiesburg MS 39402-7040. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Health Educator. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Lewis, Stephanie Louise can be contacted via phone (800) 945-9479.

Contact Information

Primary practice address
43 Town Center Sq Ste 102 Hattiesburg MS 39402-7040
Phone: (800) 945-9479
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1649983669
LBN Legal business name Lewis, Stephanie Louise
Credentials RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2023
Last updated Jan 4th, 2023 - about 2 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 1649983669 NPPES
Other 568946544 BCBS
Other 5874 BCBS
MEDICAID 236 BCBS

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