Individual
MR. MICHAEL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 MAPLE CT, DAGSBORO, DE 19939-9750
(302) 519-2674
Mailing address
501 MAPLE CT, DAGSBORO, DE 19939-9750
(302) 519-2674
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
17-60434-39-003
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-60434-39-003
DELAWARE BUSINESS LICENSE
DE
Enumeration date
11/01/2017
Last updated
11/01/2017
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