Thea C Lewis DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007082 Issued in MI

Legal business name

THEA C LEWIS DC LLC

Practice address

22190 Garrison St
202
Dearborn, MI 48124-2260

Phone

(313) 724-1792

NPI assigned

Dec 7, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thea C Lewis, DC

Title

Owner Chiropractor

Phone

(313) 724-1792

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1104194901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22190 GARRISON ST",
            "address_2": "202",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242260",
            "telephone_number": "313-724-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22190 GARRISON ST",
            "address_2": "202",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242260",
            "telephone_number": "313-724-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEA C LEWIS DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "THEA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "313-724-1792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.