Lyle, William Glenn

Lyle, William Glenn is an individual health care provider with primary practice located at 1112 Dresser Ct , Raleigh NC 27609-7303. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lyle, William Glenn can be contacted via phone (919) 872-2616.

Contact Information

Primary practice address
1112 Dresser Ct Raleigh NC 27609-7303
Phone: (919) 872-2616
Fax: (919) 872-2771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X North Carolina

Profile Details

NPI number 1700851037
LBN Legal business name Lyle, William Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700851037 NPPES
North Carolina MEDICAID 8912585

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