Lewis, Mark E.

Lewis, Mark E. is an individual health care provider with primary practice located at 765 Liberty St 310, Meadville PA 16335-2566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lewis, Mark E. can be contacted via phone (814) 333-7030.

Contact Information

Primary practice address
765 Liberty St 310 Meadville PA 16335-2566
Phone: (814) 333-7030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS008626L Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34-006416 Ohio

Profile Details

NPI number 1356322507
LBN Legal business name Lewis, Mark E.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jul 14th, 2014 - about 12 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 1356322507 NPPES
Ohio MEDICAID 0313539

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