Individual
MR. NICHOLAS J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3101 E STATE ST STE AND2107, EAGLE, ID 83616-6232
(208) 473-3500
(208) 473-3510
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-11279
ID
208000000X
Pediatrics Physician
M-11279
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134372386
—
ID
Enumeration date
11/01/2008
Last updated
03/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us