Lewis, Heather Brook

Lewis, Heather Brook is an individual health care provider with primary practice located at 1000 Oakland Dr Fl 3 , Kalamazoo MI 49008-1282. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Lewis, Heather Brook can be contacted via phone (269) 387-8047.

Contact Information

Primary practice address
1000 Oakland Dr Fl 3 Kalamazoo MI 49008-1282
Phone: (269) 387-8047
Fax: (269) 387-7026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1164684049
LBN Legal business name Lewis, Heather Brook
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2008
Last updated Jul 1st, 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 1164684049 NPPES
Michigan Other 155811 GREAT LAKES HEALTH PLAN
Michigan MEDICAID 40-4702665 GREAT LAKES HEALTH PLAN
Michigan Other 46-31868 GREAT LAKES HEALTH PLAN

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