Norman, Mark Lewis

Norman, Mark Lewis is an sole proprietor health care provider with primary practice located at 6533 Drew Ave S , Edina MN 55435-2103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Norman, Mark Lewis can be contacted via phone (952) 927-7138.

Contact Information

Primary practice address
6533 Drew Ave S Edina MN 55435-2103
Phone: (952) 927-7138
Fax: (952) 924-4021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25882 Minnesota
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 26691020 Wisconsin

Profile Details

NPI number 1538143516
LBN Legal business name Norman, Mark Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2005
Last updated Oct 24th, 2011 - 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 1538143516 NPPES
Minnesota MEDICAID 439875100

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