Lewis, Cory I

Lewis, Cory I is an individual health care provider with primary practice located at 740 Mckinley Ave , Kellogg ID 83837-2523. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lewis, Cory I can be contacted via phone (208) 457-9125.

Contact Information

Primary practice address
740 Mckinley Ave Kellogg ID 83837-2523
Phone: (208) 457-9125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1971 Idaho

Profile Details

NPI number 1467496323
LBN Legal business name Lewis, Cory I
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jan 21st, 2008 - about 18 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 1467496323 NPPES
Idaho Other 000010159647 REGENCE
Idaho Other T6319 REGENCE

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