Lewis, Michael Ray
Lewis, Michael Ray is an sole proprietor health care provider with primary practice located at 4500 Old Pass Rd , Gulfport MS 39501-2585. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lewis, Michael Ray can be contacted via phone (228) 865-7890.Contact Information
Primary practice address
4500 Old Pass Rd
Gulfport MS 39501-2585
Phone: (228) 865-7890
Fax: (228) 868-7402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 13326 | Mississippi |
Profile Details
| NPI number | 1568409878 |
|---|---|
| LBN Legal business name | Lewis, Michael Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Oct 28th, 2009 - about 17 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 | 1568409878 | NPPES |
| Mississippi | Other | 060065909 | MEDICARE SECONDARY PAYOR |
| Mississippi | MEDICAID | 00116618 | MEDICARE SECONDARY PAYOR |
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