1679580328 NPI number — MS. CHRISTINE S LEWIS LISW ACSW MSW

Table of content: MS. CHRISTINE S LEWIS LISW ACSW MSW (NPI 1679580328)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679580328 NPI number — MS. CHRISTINE S LEWIS LISW ACSW MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEWIS
Provider First Name:
CHRISTINE
Provider Middle Name:
S
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LISW ACSW MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679580328
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3209 INGERSOLL AVE
Provider Second Line Business Mailing Address:
SUITE 205
Provider Business Mailing Address City Name:
DES MOINES
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50312
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
515-279-2834
Provider Business Mailing Address Fax Number:
515-279-4168

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3209 INGERSOLL AVE
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
DES MOINES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-279-2834
Provider Business Practice Location Address Fax Number:
515-279-4168
Provider Enumeration Date:
08/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  531 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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