Matthew Thomas Lewis in Jefferson City - Specialist

Matthew Thomas Lewis - NPI 1205987831

Matthew Thomas Lewis is a Specialist in Jefferson City, Missouri. Matthew Thomas Lewis practices all healthcare services and medical treatments related to Specialist. The NPI Number for Matthew Thomas Lewis is 1205987831. The last update date is 2007-12-18.

Matthew Thomas Lewis's current location address is 1705 Christy Dr, Jefferson City, Missouri. You can contact this provider via phone number 5736350115 and fax number 5736350116. The mailing address for Matthew Thomas Lewis is 1705 Christy Dr, Jefferson City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew Thomas Lewis
Address 1705 Christy Dr, Jefferson City, Missouri
Phone Number 5736350115
Fax Number 5736350116
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1205987831
Provider Enumeration Date 2007-01-12
Last Updated Date 2007-12-18

Provider Mailing Address Detail

Address 1705 Christy Dr
City Jefferson City
State Missouri (MO)
Post Code 651015195
Phone Number 5736350115
Fax Number 5736350116

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No R3P66
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
206665812 MO --

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FAQs about Matthew Thomas Lewis

What is the unique provider identifier assigned to Matthew Thomas Lewis?

The Matthew Thomas Lewis has been issued the NPI (National Provider Identifier) 1205987831 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Matthew Thomas Lewis?

The Matthew Thomas Lewis is physically situated at 1705 Christy Dr, in the city of Jefferson City, state of MO, with the postal code 651015195.

What is Matthew Thomas Lewis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Matthew Thomas Lewis's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did Matthew Thomas Lewis receive its 1205987831 assignment from the Centers for Medicare & Medicaid Services?

The Matthew Thomas Lewis was assigned its 1205987831 on 2007-01-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Matthew Thomas Lewis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Matthew Thomas Lewis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-18.

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