Lewis, Cody W
Lewis, Cody W is an individual health care provider with primary practice located at 2300 E 30Th St Bldg D Ste 101 , Farmington NM 87401. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lewis, Cody W can be contacted via phone (505) 327-1400.Contact Information
Primary practice address
2300 E 30Th St Bldg D Ste 101
Farmington NM 87401
Phone: (505) 327-1400
Fax: (505) 564-3202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA60796883 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2012-0021 | New Mexico |
Profile Details
| NPI number | 1972859403 |
|---|---|
| LBN Legal business name | Lewis, Cody W |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2012 |
| Last updated | Jan 18th, 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 | 1972859403 | NPPES |
| New Mexico | MEDICAID | 58372539 |
Popular Providers
-
Pizura, Katie
1160 Corporate Dr , Farmington NY 14425-9534 -
Harrington, Jennifer L.
841 S Highway 25 W # S Suite 5, Williamsburg KY 40769-4600 -
Shaffer, Douglas Eugene
3451 N Butler Ave , Farmington NM 87401-2357 -
Ackerman, Reid
2130 Farmington Ave Ste A , Farmington NM 87401-2123 -
Smith, Stephen
1001 W Broadway , Farmington NM 87401-5638 -
Kelly, Jonathan D
622 W Maple St Ste B , Farmington NM 87401-6589 -
Teare, Gary John
3451 N Butler Ave , Farmington NM 87401 -
Rago, Susan Ellen
1001 W Broadway Ste D , Farmington NM 87401-5638