Lewis, Nicholas J

Lewis, Nicholas J is an individual health care provider with primary practice located at 3101 E State St Ste And2107 , Eagle ID 83616-6232. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Lewis, Nicholas J can be contacted via phone (208) 473-3500.

Contact Information

Primary practice address
3101 E State St Ste And2107 Eagle ID 83616-6232
Phone: (208) 473-3500
Fax: (208) 473-3510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M-11279 Idaho
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M-11279 Idaho

Profile Details

NPI number 1134372386
LBN Legal business name Lewis, Nicholas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2008
Last updated Mar 1st, 2024 - about 2 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 1134372386 NPPES
Idaho MEDICAID 1134372386

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