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Contact Information

JENNIFER A COOPER LEWIS, DO
1235 E CHEROKEE ST
SPRINGFIELD, MO65804-2203
 Phone: 417-820-2115
 Fax: 417-820-5344
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JENNIFER A COOPER LEWIS · (Female)

NPI Number 1720228950
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/27/2009
Last updated 12/02/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 068394
  • MO License # 2015015950
  • MO Medicaid 1720228950
Hospital affiliation(s)
  • MERCY HOSPITAL SPRINGFIELD - (Acute Care)
    1235 E CHEROKEE
    SPRINGFIELD, MO 65804
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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