Lewis, Alan
Lewis, Alan is an sole proprietor health care provider with primary practice located at 1245 42Nd Ave , Gulfport MS 39501-2666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Lewis, Alan can be contacted via phone (228) 864-8049.Contact Information
Primary practice address
1245 42Nd Ave
Gulfport MS 39501-2666
Phone: (228) 864-8049
Fax: (228) 864-7655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 14710R | Louisiana |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 17858 | Mississippi |
Profile Details
| NPI number | 1912090143 |
|---|---|
| LBN Legal business name | Lewis, Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Feb 5th, 2014 - 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 | 1912090143 | NPPES |
| Louisiana | MEDICAID | 1136697 |
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