Lewis, Brandi Mickale

Lewis, Brandi Mickale is an sole proprietor health care provider with primary practice located at 1710 Prospect Ave E , Cleveland OH 44115-2322. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lewis, Brandi Mickale can be contacted via phone (216) 645-0146.

Contact Information

Primary practice address
1710 Prospect Ave E Cleveland OH 44115-2322
Phone: (216) 645-0146
Fax: (216) 781-2023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.021012 Ohio

Profile Details

NPI number 1740316066
LBN Legal business name Lewis, Brandi Mickale
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2007
Last updated Mar 17th, 2018 - about 8 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 1740316066 NPPES
Ohio MEDICAID 0228085

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