Brian Lewis

NPI 1083000194 · on the registry since 2015 · sole proprietor

Practice

Address: 416 E Superior St
Wayland, MI 49348
Phone: (269) 519-7249
Fax: (269) 792-6523
Organisation at this address: Creating Independance Llc
Creating Independence Llc
Creating Independence Iii Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Adult Companion
372600000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-04-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan