Lewis, Mary Beth Hoppe
Lewis, Mary Beth Hoppe is an individual health care provider with primary practice located at 1150 Youngs Rd 107, Williamsville NY 14221-8053. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Lewis, Mary Beth Hoppe can be contacted via phone (716) 636-9112.Contact Information
Primary practice address
1150 Youngs Rd 107
Williamsville NY 14221-8053
Phone: (716) 636-9112
Fax: (716) 639-0875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | F420496-1 | New York |
Profile Details
| NPI number | 1396789517 |
|---|---|
| LBN Legal business name | Lewis, Mary Beth Hoppe |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Oct 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396789517 | NPPES |
| New York | Other | 9512294 | INDEPENDENT HEALTH |
| New York | MEDICAID | 01993728 | INDEPENDENT HEALTH |
| New York | Other | 040426000612 | INDEPENDENT HEALTH |
| New York | Other | 000560469002 | INDEPENDENT HEALTH |
| New York | Other | 050819000018 | INDEPENDENT HEALTH |
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