Lyle G. Henry Md Sc

LBN: Lyle G. Henry Md Sc
Lyle G. Henry Md Sc is an health care organization with primary practice located at 2015 E Newport Ave Ste 305 , Milwaukee WI 53211-2949. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Lyle G. Henry Md Sc can be contacted via phone (414) 961-2120, or through Henry, Lyle Gene via phone (414) 961-2120.

Contact Information

Primary practice address
2015 E Newport Ave Ste 305 Milwaukee WI 53211-2949
Phone: (414) 961-2120
Fax: (414) 961-0335
Website:
Map and Directions
Authorized official contact:
Name: Henry, Lyle Gene Doctor of Medicine (MD)
Phone: (414) 961-2120

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 18454 Wisconsin

Profile Details

NPI number 1063611820
LBN Legal business name Lyle G. Henry Md Sc
DBA Doing business as
Authorized official Henry, Lyle Gene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2007
Last updated Jul 12th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063611820 NPPES
Wisconsin MEDICAID 30888100

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