Lewis, Brenna Kathryn
Lewis, Brenna Kathryn is an individual health care provider with primary practice located at 2500 Ne Neff Rd , Bend OR 97701-6015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lewis, Brenna Kathryn can be contacted via phone (541) 706-6892.Contact Information
Primary practice address
2500 Ne Neff Rd
Bend OR 97701-6015
Phone: (541) 706-6892
Fax: (541) 706-6813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD171914 | Oregon |
Profile Details
| NPI number | 1033475546 |
|---|---|
| LBN Legal business name | Lewis, Brenna Kathryn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2012 |
| Last updated | Oct 3rd, 2023 - about 3 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 | 1033475546 | NPPES |
| Oregon | MEDICAID | 500655062 |
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