| Thea C Lewis Dc Llc | |
|
22190 Garrison St, 202, Dearborn, MI 48124-2260 | |
| (313) 724-1792 | |
| Not Available |
| Full Name | Thea C Lewis Dc Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 22190 Garrison St, Dearborn, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104194901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301007082 (Michigan) | Primary |
| Provider Name | Thea C Lewis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861532459 PECOS PAC ID: 2567639149 Enrollment ID: I20120123000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Thea C Lewis Dc Llc 22190 Garrison St, 202, Dearborn, MI 48124-2260 Ph: (313) 724-1792 | Thea C Lewis Dc Llc 22190 Garrison St, 202, Dearborn, MI 48124-2260 Ph: (313) 724-1792 |
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Dr. Jeremy Dennis Copple, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 22615 Michigan Ave, Dearborn, MI 48124 Phone: 313-585-1517 | |
Yi Xie, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 22615 Michigan Ave, Dearborn, MI 48124 Phone: 563-508-5737 | |
Abduldayem Ahmed, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 9925 Dix, Suite 102, Dearborn, MI 48120 Phone: 313-841-1470 | |
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