Holmes, Lewis Ball

Holmes, Lewis Ball is an individual health care provider with primary practice located at 55 Fruit St Yaw 4 Pediatric Medicine, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Holmes, Lewis Ball can be contacted via phone (617) 724-3358.

Contact Information

Primary practice address
55 Fruit St Yaw 4 Pediatric Medicine Boston MA 02114-2696
Phone: (617) 724-3358
Fax: (617) 724-1911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 1206 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28697 Massachusetts

Profile Details

NPI number 1063486454
LBN Legal business name Holmes, Lewis Ball
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 20th, 2012 - about 14 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 1063486454 NPPES
Massachusetts Other 724452 TUFTS HEALTH PLAN
Massachusetts Other M07471 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2022745 TUFTS HEALTH PLAN

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