Lewis, Theodore H

Lewis, Theodore H is an individual health care provider with primary practice located at 1200 N Beaver St , Flagstaff AZ 86002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Lewis, Theodore H can be contacted via phone (928) 773-0003.

Contact Information

Primary practice address
1200 N Beaver St Flagstaff AZ 86002
Phone: (928) 773-0003
Fax: (928) 773-1170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 23470 Arizona
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 23470 Arizona

Profile Details

NPI number 1437122108
LBN Legal business name Lewis, Theodore H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated May 17th, 2013 - about 13 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 1437122108 NPPES
Arizona MEDICAID 312570

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