Lyles, William Bradford

Lyles, William Bradford is an individual health care provider with primary practice located at 840 Willard Dr Suite 201, Green Bay WI 54304-5204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Lyles, William Bradford can be contacted via phone (920) 497-0788.

Contact Information

Primary practice address
840 Willard Dr Suite 201 Green Bay WI 54304-5204
Phone: (920) 497-0788
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 40554-020 Wisconsin
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 40554-020 Wisconsin

Profile Details

NPI number 1386799328
LBN Legal business name Lyles, William Bradford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Nov 7th, 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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