Henry, Lyle Gene
Henry, Lyle Gene is an individual health care provider with primary practice located at 2350 N Lake Dr Suite 304, Milwaukee WI 53211-4528. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Henry, Lyle Gene can be contacted via phone (414) 298-7220.Contact Information
Primary practice address
2350 N Lake Dr Suite 304
Milwaukee WI 53211-4528
Phone: (414) 298-7220
Fax: (414) 298-7229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 18454 | Wisconsin |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 18454 | Wisconsin |
Profile Details
| NPI number | 1043242035 |
|---|---|
| LBN Legal business name | Henry, Lyle Gene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Feb 25th, 2013 - about 13 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 | 1043242035 | NPPES |
| Wisconsin | MEDICAID | 1043242035 |
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