Lewis, Michelle D
Lewis, Michelle D is an individual health care provider with primary practice located at 3935 N. Lightning Drive , Appleton WI 54913-7890. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Lewis, Michelle D can be contacted via phone (920) 968-1790.Contact Information
Primary practice address
3935 N. Lightning Drive
Appleton WI 54913-7890
Phone: (920) 968-1790
Fax: (920) 968-1794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 53110-020 | Wisconsin |
Profile Details
| NPI number | 1801802046 |
|---|---|
| LBN Legal business name | Lewis, Michelle D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Aug 12th, 2022 - about 4 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 | 1801802046 | NPPES |
| Wisconsin | Other | 53730-020 | STATE LICENSE |
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