Koca, Lyle Edward
Koca, Lyle Edward is an individual health care provider with primary practice located at 11420 Blondo St Ste 102, Omaha NE 68164-3858. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Koca, Lyle Edward can be contacted via phone (402) 496-4570.Contact Information
Primary practice address
11420 Blondo St Ste 102
Omaha NE 68164-3858
Phone: (402) 496-4570
Fax: (402) 496-8972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 956 | Nebraska |
Profile Details
| NPI number | 1023176773 |
|---|---|
| LBN Legal business name | Koca, Lyle Edward |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Sep 24th, 2018 - about 8 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 | 1023176773 | NPPES |
| Nebraska | MEDICAID | 100249715-00 |
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