Lewis, Shanda

Lewis, Shanda is an individual health care provider with primary practice located at 425 Jack Martin Blvd , Brick NJ 08724-7732. She recently has 2 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 / Pediatrics is her primary health care specialty. Lewis, Shanda can be contacted via phone (732) 840-2200.

Contact Information

Primary practice address
425 Jack Martin Blvd Brick NJ 08724-7732
Phone: (732) 840-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MB11808600 New Jersey
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1285262469
LBN Legal business name Lewis, Shanda
Credentials MS, D0
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2020
Last updated May 23rd, 2023 - about 3 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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