Victor, Lyle

Victor, Lyle is an individual health care provider with primary practice located at 42180 Ford Rd Ste 201 , Canton MI 48187-3676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Victor, Lyle can be contacted via phone (734) 844-6075.

Contact Information

Primary practice address
42180 Ford Rd Ste 201 Canton MI 48187-3676
Phone: (734) 844-6075
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301038979 Michigan

Profile Details

NPI number 1447230669
LBN Legal business name Victor, Lyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Oct 22nd, 2020 - about 5 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 1447230669 NPPES
Michigan MEDICAID 104530220
Michigan Other 290H216580

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