Lyles, Fred

Lyles, Fred is an sole proprietor health care provider with primary practice located at 1629 Airport Rd Ste B , Hot Springs AR 71913-8069. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lyles, Fred can be contacted via phone (501) 767-0075.

Contact Information

Primary practice address
1629 Airport Rd Ste B Hot Springs AR 71913-8069
Phone: (501) 767-0075
Fax: (501) 760-2739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C6852 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C6852 Arkansas

Profile Details

NPI number 1609826486
LBN Legal business name Lyles, Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated May 10th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609826486 NPPES
Arkansas MEDICAID 110131001

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