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NPI Code Detail

MEDICARE: DR. JEFFREY E. LEWIS D.C.

MEDICARE:  DR. JEFFREY E. LEWIS  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor1645AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15Y424OTHERARBCBS PIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396743845
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY E. LEWIS D.C.
Provider Business Mailing Address
First Line : 212 SOUTH WASHINGTON
Second Line :
City : MAGNOLIA
State : AR
Zip : 71753-2669
Country : US
Telephone Number : 870-235-3100
Fax Number : 870-235-3101
Provider Business Practice Location Address
First Line : 212 SOUTH WASHINGTON
Second Line :
City : MAGNOLIA
State : AR
Zip : 71753-2669
Country : US
Telephone Number : 870-235-3100
Fax Number : 870-235-3101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 09/25/2008

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Directions to “ DR. JEFFREY E. LEWIS D.C.” Practice Location

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