Lewis, Joshua
Lewis, Joshua is an individual health care provider with primary practice located at 675 S Woodruff Ave , Idaho Falls ID 83401-5596. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Lewis, Joshua can be contacted via phone (208) 538-0104.Contact Information
Primary practice address
675 S Woodruff Ave
Idaho Falls ID 83401-5596
Phone: (208) 538-0104
Fax: (208) 538-0106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2017028241 | Missouri |
| Dental Providers / General Practice | 1223G0001X | D5167 | Idaho |
| Dental Providers / Dentist | 122300000X | 5167 | Idaho |
Profile Details
| NPI number | 1679098008 |
|---|---|
| LBN Legal business name | Lewis, Joshua |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2017 |
| Last updated | Apr 30th, 2025 - about last year |
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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