Nelson, Lyle Wilfred
Nelson, Lyle Wilfred is an sole proprietor health care provider with primary practice located at 3215 Se 192Nd Ave Suite 112, Vancouver WA 98683-1469. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Nelson, Lyle Wilfred can be contacted via phone (360) 256-7100.Contact Information
Primary practice address
3215 Se 192Nd Ave Suite 112
Vancouver WA 98683-1469
Phone: (360) 256-7100
Fax: (360) 256-8886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DE00007605 | Washington |
Profile Details
| NPI number | 1801919527 |
|---|---|
| LBN Legal business name | Nelson, Lyle Wilfred |
| Credentials | M.D.,D.M.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 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.
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