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Organization
LEWIS HEALTH ENTERPRISES LLC
Active
Organization
LEWIS HEALTH ENTERPRISES LLC
Active
Other names
Central Jefferson Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN PAUL LEWIS D.C. (OWNER/DOCTOR)
(920) 988-9265
Entity
Organization
Contact information
Practice address
202 N MAIN ST, JEFFERSON, WI 53549-1149
(920) 674-5025
(920) 674-5253
Mailing address
1015 S 8TH ST, WATERTOWN, WI 53094-4742
(920) 262-1877
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2506-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070561
MEDICARE PTAN
—
01
—
1700964228
NPI
—
Enumeration date
11/10/2016
Last updated
12/19/2024
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