Lyles, Michael
Lyles, Michael is an individual health care provider with primary practice located at 1931 Center St , Berkeley CA 94704-1105. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Lyles, Michael can be contacted via phone (510) 666-9552.Contact Information
Primary practice address
1931 Center St
Berkeley CA 94704-1105
Phone: (510) 666-9552
Fax: (510) 666-0987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1790980951 |
|---|---|
| LBN Legal business name | Lyles, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790980951 | NPPES |
| California | Other | 60985 | AC BHCS CLINICIAN # |
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