THEA C LEWIS DC LLC - NPI 1104194901 - Chiropractor in Dearborn, MI

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Thea C Lewis Dc Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEA C LEWIS DC LLC (NPI 1104194901) is a healthcare organization registered as a chiropractor in Dearborn, Michigan and active in the NPI registry since December 2011. The organization lists Thea C Lewis, Owner Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1104194901

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameTHEA C LEWIS DC LLC

Location Address22190 GARRISON ST, 202Dearborn, MI 48124-2260

Mailing Address22190 Garrison St, 202Dearborn, MI 48124-2260 · (313) 724-1792

Phone(313) 724-1792

Organization SubpartNo

Authorized OfficialThea C LewisOwner Chiropractor · (313) 724-1792

Enumeration DateDecember 7, 2011

✔ NPI 1104194901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MI · 2301007082

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

22190 GARRISON ST, Dearborn, MI 48124

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP