Grenz, Lyle William
Grenz, Lyle William is an sole proprietor health care provider with primary practice located at 1700 E Venice Ave , Venice FL 34292-3190. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Grenz, Lyle William can be contacted via phone (941) 483-9789.Contact Information
Primary practice address
1700 E Venice Ave
Venice FL 34292-3190
Phone: (941) 483-9789
Fax: (941) 483-9774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH4449 | Florida |
Profile Details
| NPI number | 1164430591 |
|---|---|
| LBN Legal business name | Grenz, Lyle William |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Mar 9th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164430591 | NPPES |
| Florida | MEDICAID | 381981700 |
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