Lewis, Timothy
Lewis, Timothy is an sole proprietor health care provider with primary practice located at 237 Service Rd , Ruidoso NM 88345-6063. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as his primary health care specialty. Lewis, Timothy can be contacted via phone (575) 257-2368.Contact Information
Primary practice address
237 Service Rd
Ruidoso NM 88345-6063
Phone: (575) 257-2368
Fax: (575) 257-2141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | 5206 | New Mexico |
Profile Details
| NPI number | 1013338128 |
|---|---|
| LBN Legal business name | Lewis, Timothy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2013 |
| Last updated | Dec 17th, 2013 - about 12 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 | 1013338128 | NPPES |
| New Mexico | MEDICAID | 850441031 |
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