Lyle, Tony Wayne

Lyle, Tony Wayne is an sole proprietor health care provider with primary practice located at 1061 Uss Tennessee Ave , Kings Bay GA 31547. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Lyle, Tony Wayne can be contacted via phone (912) 573-4540.

Contact Information

Primary practice address
1061 Uss Tennessee Ave Kings Bay GA 31547
Phone: (912) 573-4540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1144429507
LBN Legal business name Lyle, Tony Wayne
Credentials NAVY IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2007
Last updated Jul 16th, 2007 - 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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