Lyle, Herman Oscar
Lyle, Herman Oscar is an individual health care provider with primary practice located at 6563 Wards Mill Road , Marion IL 62959-0820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lyle, Herman Oscar can be contacted via phone (618) 993-3692.Contact Information
Primary practice address
6563 Wards Mill Road
Marion IL 62959-0820
Phone: (618) 993-3692
Fax: (618) 964-2056
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-054539 | Illinois |
Profile Details
NPI number | 1275530230 |
---|---|
LBN Legal business name | Lyle, Herman Oscar |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2005 |
Last updated | Jun 4th, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275530230 | NPPES |
Illinois | Other | 036076429 | BCBS |
Illinois | Other | 1275530230 | BCBS |
Illinois | MEDICAID | 036076429 | BCBS |
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