Mott, Lewis Jm

Mott, Lewis Jm is an individual health care provider with primary practice located at 18128 Wood Duck St , Woodland CA 95695-6033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mott, Lewis Jm can be contacted via phone (530) 666-7473.

Contact Information

Primary practice address
18128 Wood Duck St Woodland CA 95695-6033
Phone: (530) 666-7473
Fax: (530) 666-7473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G25617 California

Profile Details

NPI number 1912924598
LBN Legal business name Mott, Lewis Jm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 16th, 2009 - about 17 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 1912924598 NPPES
California Other 00G256170 BLUE SHIELD
California MEDICAID 00G256170 BLUE SHIELD
California Other P00003480 BLUE SHIELD

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