Lewis, Charles Alan

Lewis, Charles Alan is an individual health care provider with primary practice located at 1224 Ocala Rd , Tallahassee FL 32304-1548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Lewis, Charles Alan can be contacted via phone (850) 576-2129.

Contact Information

Primary practice address
1224 Ocala Rd Tallahassee FL 32304-1548
Phone: (850) 576-2129
Fax: (850) 576-9602
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X ME0057039 Florida

Profile Details

NPI number 1063432045
LBN Legal business name Lewis, Charles Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 26th, 2015 - about 11 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 1063432045 NPPES
Florida Other 080157777 RAILROAD (MEDICARE)
Florida MEDICAID 056965800 RAILROAD (MEDICARE)

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