Provider Demographics
NPI:1982817094
Name:STEVEN A LEWIS DC INC
Entity Type:Organization
Organization Name:STEVEN A LEWIS DC INC
Other - Org Name:WHITEHALL CHIROPRACTIC OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-863-0097
Mailing Address - Street 1:420 S HAMILTON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2036
Mailing Address - Country:US
Mailing Address - Phone:614-863-0097
Mailing Address - Fax:614-863-6949
Practice Address - Street 1:420 S HAMILTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2036
Practice Address - Country:US
Practice Address - Phone:614-863-0097
Practice Address - Fax:614-863-6949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1151111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9291771Medicare PIN