Healthcare Provider Details

I. General information

NPI: 1982817094
Provider Name (Legal Business Name): STEVEN A LEWIS DC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 10/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 S HAMILTON RD
COLUMBUS OH
43213-2036
US

IV. Provider business mailing address

420 S HAMILTON RD
COLUMBUS OH
43213-2036
US

V. Phone/Fax

Practice location:
  • Phone: 614-863-0097
  • Fax: 614-863-6949
Mailing address:
  • Phone: 614-863-0097
  • Fax: 614-863-6949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number1151
License Number StateOH

VIII. Authorized Official

Name: DR. STEVEN A. LEWIS
Title or Position: DOCTOR
Credential: DC
Phone: 614-863-0097