Lewis, Robert D

Lewis, Robert D is an sole proprietor health care provider with primary practice located at 12700 Southfork Rd Ste 205, Saint Louis MO 63128-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lewis, Robert D can be contacted via phone (314) 842-0582.

Contact Information

Primary practice address
12700 Southfork Rd Ste 205 Saint Louis MO 63128-3201
Phone: (314) 842-0582
Fax: (314) 842-6414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X R7002 Missouri

Profile Details

NPI number 1518964667
LBN Legal business name Lewis, Robert D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated May 14th, 2010 - about 16 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 1518964667 NPPES
Missouri MEDICAID 201040805

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