Hodge, Lyle Martin
Hodge, Lyle Martin is an sole proprietor health care provider with primary practice located at 223 W Wintergreen Rd , Duncanville TX 75137-4423. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Hodge, Lyle Martin can be contacted via phone (469) 323-7322.Contact Information
Primary practice address
223 W Wintergreen Rd
Duncanville TX 75137-4423
Phone: (469) 323-7322
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 3029 | Texas |
Profile Details
| NPI number | 1316064900 |
|---|---|
| LBN Legal business name | Hodge, Lyle Martin |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | May 1st, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316064900 | NPPES |
| Texas | MEDICAID | 0012650-01 |
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