MEDICARE: DR. JOHN MICHAEL LEWIS JR. DC

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
1	111N00000X	Chiropractor	2833	WA

General Provider Information

NPI Number	:	1134119340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN MICHAEL LEWIS JR. DC

Provider Business Mailing Address
First Line	:	PO BOX 771
Second Line	:
City	:	EASTSOUND
State	:	WA
Zip	:	98245-0771
Country	:	US
Telephone Number	:	405-819-7750
Fax Number	:	360-298-7307

Provider Business Practice Location Address
First Line	:	123 N BEACH RD
Second Line	:
City	:	EASTSOUND
State	:	WA
Zip	:	98245-8205
Country	:	US
Telephone Number	:	405-819-7750
Fax Number	:	360-298-7307

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	04/29/2025

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