ALBERT W LEWIS, Ambulance BRIDGEPORT, IL

Contact Information

ALBERT W LEWIS

1305 ASH ST
BRIDGEPORT, IL 62417-1707

Phone: 618-945-5858
Fax: 618-945-5313
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

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NPI Profile & details for ALBERT W LEWIS · (Male)

NPI Number	`1871677005`
Status	Active
Credentials
Entity	Individual
Enumeration date	10/24/2006
Last updated	07/09/2007 - About 19 years ago
Sole proprietor ¹	Yes
Identifiers	IL License # 5 5232 IL Medicaid 371386411001
Hospital affiliation(s)	Not Available

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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ALBERT W LEWISAmbulance

Contact Information

Specialty

Ambulance

NPI Profile & details for ALBERT W LEWIS · (Male)

Reviews for ALBERT W LEWIS

ALBERT W LEWIS
Ambulance