Black, Lyle H
Black, Lyle H is an individual health care provider with primary practice located at 248 W 300 N , Logan UT 84321-3810. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Black, Lyle H can be contacted via phone (435) 754-0277.Contact Information
Primary practice address
248 W 300 N
Logan UT 84321-3810
Phone: (435) 754-0277
Fax: (435) 752-1318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 5271519-2401 | Utah |
Profile Details
| NPI number | 1619144920 |
|---|---|
| LBN Legal business name | Black, Lyle H |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2008 |
| Last updated | Sep 11th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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