Lewis, James Andrew

Lewis, James Andrew is an individual health care provider with primary practice located at Hasting Indian Medical Center 100 S. Bliss, Tahlequah OK 74464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lewis, James Andrew can be contacted via phone (918) 458-3120.

Contact Information

Primary practice address
Hasting Indian Medical Center 100 S. Bliss Tahlequah OK 74464
Fax: (918) 458-3279
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10026 Oklahoma

Profile Details

NPI number 1992786768
LBN Legal business name Lewis, James Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jun 29th, 2011 - about 15 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 1992786768 NPPES
Oklahoma MEDICAID 10038540A
Oklahoma MEDICAID 150304001

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