Smith, Lyle D
Smith, Lyle D is an individual health care provider with primary practice located at 2020 Central Ave , Dodge City KS 67801-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Smith, Lyle D can be contacted via phone (620) 227-1371.Contact Information
Primary practice address
2020 Central Ave
Dodge City KS 67801-1000
Phone: (620) 227-1371
Fax: (620) 227-1208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 04 24456 | Kansas |
Profile Details
| NPI number | 1508847062 |
|---|---|
| LBN Legal business name | Smith, Lyle D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Jan 28th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508847062 | NPPES |
| Kansas | MEDICAID | 100144060A |
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