Cooper, Lyle Ray

Cooper, Lyle Ray is an individual health care provider with primary practice located at 2100 Stantonsburg Road , Greenville NC 27835-6028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Cooper, Lyle Ray can be contacted via phone (252) 847-5473.

Contact Information

Primary practice address
2100 Stantonsburg Road Greenville NC 27835-6028
Phone: (252) 847-5473
Fax: (252) 847-6255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 25486 North Carolina

Profile Details

NPI number 1730129701
LBN Legal business name Cooper, Lyle Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Oct 6th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730129701 NPPES
North Carolina Other 24202 BCBS OF NC
North Carolina MEDICAID 8924202 BCBS OF NC

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