Lewis, Merral B

Lewis, Merral B is an individual health care provider with primary practice located at 350 W Columbia St Ste 440, Evansville IN 47710-1782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lewis, Merral B can be contacted via phone (812) 425-2461.

Contact Information

Primary practice address
350 W Columbia St Ste 440 Evansville IN 47710-1782
Phone: (812) 425-2461
Fax: (812) 424-7254
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01027625A Indiana

Profile Details

NPI number 1124021555
LBN Legal business name Lewis, Merral B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Mar 9th, 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 1124021555 NPPES
Indiana MEDICAID 100242820

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