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:
Health care specialties
Specialty | Code | License # | 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 3 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 | 1609826486 | NPPES |
Arkansas | MEDICAID | 110131001 |
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