Walsh, Lyle G

Walsh, Lyle G is an individual health care provider with primary practice located at 8992 University Blvd Ste 300 , North Charleston SC 29406-8104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Walsh, Lyle G can be contacted via phone (843) 876-8279.

Contact Information

Primary practice address
8992 University Blvd Ste 300 North Charleston SC 29406-8104
Phone: (843) 876-8279
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20374 South Carolina

Profile Details

NPI number 1962464875
LBN Legal business name Walsh, Lyle G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jul 5th, 2012 - about 12 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 1962464875 NPPES
South Carolina Other 110206688 RAILROAD MEDICARE ID#
South Carolina MEDICAID 203746 RAILROAD MEDICARE ID#

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