Lewis, Anna Klaertje
Lewis, Anna Klaertje is an individual health care provider with primary practice located at Hwy 264, Mile Post 388 , Polacca AZ 86042. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lewis, Anna Klaertje can be contacted via phone (928) 737-6148.Contact Information
Primary practice address
Hwy 264, Mile Post 388
Polacca AZ 86042
Phone: (928) 737-6148
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 31956 | Arizona |
Profile Details
| NPI number | 1467599183 |
|---|---|
| LBN Legal business name | Lewis, Anna Klaertje |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Dec 20th, 2021 - about 5 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 | 1467599183 | NPPES |
| Arizona | MEDICAID | 809361 |
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