Folsom, Lyle Rey
Folsom, Lyle Rey is an individual health care provider with primary practice located at 1016 W Pierce St , Carlsbad NM 88220-4013. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Folsom, Lyle Rey can be contacted via phone (575) 885-3445.Contact Information
Primary practice address
1016 W Pierce St
Carlsbad NM 88220-4013
Phone: (575) 885-3445
Fax: (575) 887-0163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 281 | New Mexico |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 281 | New Mexico |
Profile Details
| NPI number | 1770698334 |
|---|---|
| LBN Legal business name | Folsom, Lyle Rey |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Nov 5th, 2010 - about 16 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 | 1770698334 | NPPES |
| New Mexico | MEDICAID | 20639261 | |
| New Mexico | Other | 480035354 | |
| New Mexico | Other | NM015A03 |
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