Lewis, Roy

Lewis, Roy is an sole proprietor health care provider with primary practice located at 982 Dale St N , Saint Paul MN 55117-5602. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Nursing Service Providers / Registered Nurse. Chiropractic Providers / Chiropractor is his primary health care specialty. Lewis, Roy can be contacted via phone (651) 488-1332.

Contact Information

Primary practice address
982 Dale St N Saint Paul MN 55117-5602
Phone: (651) 488-1332
Fax: (651) 488-1889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3053 Minnesota
Nursing Service Providers / Registered Nurse 163W00000X R 201129-1 Minnesota

Profile Details

NPI number 1225095854
LBN Legal business name Lewis, Roy
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Feb 9th, 2017 - about 9 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 1225095854 NPPES
Minnesota Other 3C067LE BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 878528700 BLUE CROSS BLUE SHIELD

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