Lewis, Timothy Joseph

Lewis, Timothy Joseph is an individual health care provider with primary practice located at 75 Arch St Suite G2, Akron OH 44304-1429. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Lewis, Timothy Joseph can be contacted via phone (330) 375-4100.

Contact Information

Primary practice address
75 Arch St Suite G2 Akron OH 44304-1429
Fax: (330) 375-4939
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-079368 Ohio
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 35-079368 Ohio

Profile Details

NPI number 1467419457
LBN Legal business name Lewis, Timothy Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Dec 4th, 2012 - about 13 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 1467419457 NPPES
Ohio MEDICAID 2326932
Ohio MEDICAID 4047746
Ohio MEDICAID 64048465
Ohio MEDICAID 200372030

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