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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