Provider Demographics
NPI:1003336496
Name:LEWIS, CRAIG W (PARAMOUNT PARATRANS)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:W
Last Name:LEWIS
Suffix:
Gender:M
Credentials:PARAMOUNT PARATRANS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3026 W EVANS DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85053-5722
Mailing Address - Country:US
Mailing Address - Phone:623-414-8663
Mailing Address - Fax:
Practice Address - Street 1:3026 W EVANS DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-5722
Practice Address - Country:US
Practice Address - Phone:623-414-8663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)