Paul Yosepa Lewis in Broken Arrow - Specialist
Paul Yosepa Lewis - NPI 1770615312
Paul Yosepa Lewis is a Specialist in Broken Arrow, Oklahoma. Paul Yosepa Lewis practices all healthcare services and medical treatments related to Specialist. The NPI Number for Paul Yosepa Lewis is 1770615312. The last update date is 2007-07-08.
Paul Yosepa Lewis's current location address is 1605a S Main St, Broken Arrow, Oklahoma. You can contact this provider via phone number 9182580206 and fax number 9182580207. The mailing address for Paul Yosepa Lewis is 1605a S Main St, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Yosepa Lewis |
|---|---|
| Address | 1605a S Main St, Broken Arrow, Oklahoma |
| Phone Number | 9182580206 |
| Fax Number | 9182580207 |
| Sole Proprietor | Y |
| Credentials | C.PED, L.P |
NPI Number Detail
| NPI Number | 1770615312 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1605a S Main St |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 740125604 |
| Phone Number | 9182580206 |
| Fax Number | 9182580207 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 56 |
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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. |
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What is the unique 10-digit identification code assigned to Paul Yosepa Lewis by the Centers for Medicare & Medicaid Services?
The Paul Yosepa Lewis has been issued the NPI (National Provider Identifier) 1770615312, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Paul Yosepa Lewis?
The Paul Yosepa Lewis is situated at 1605A S Main St, in the city of Broken Arrow, state of OK, with the zip code 740125604.
What is the Paul Yosepa Lewis's area of specialization and corresponding taxonomy classification?
The Paul Yosepa Lewis's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Paul Yosepa Lewis receive the assignment of its 1770615312 from the Centers for Medicare & Medicaid Services?
The Paul Yosepa Lewis was issued its 1770615312 by the Centers for Medicare & Medicaid Services on 2007-03-09.
As of what date was the information regarding Paul Yosepa Lewis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Paul Yosepa Lewis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN