Lewis, Trevor

Lewis, Trevor is an individual health care provider with primary practice located at 10400 75Th St Aurora Medical Center, Kenosha WI 53142-7884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lewis, Trevor can be contacted via phone (262) 697-7000.

Contact Information

Primary practice address
10400 75Th St Aurora Medical Center Kenosha WI 53142-7884
Phone: (262) 697-7000
Fax: (630) 734-1560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 47028020 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-089750 Illinois

Profile Details

NPI number 1891779724
LBN Legal business name Lewis, Trevor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Apr 26th, 2021 - about 5 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 1891779724 NPPES
Wisconsin MEDICAID 34586500

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