Wadsworth, Lyle E

Wadsworth, Lyle E is an sole proprietor health care provider with primary practice located at 890 N Boundary Ave Ste 102, Deland FL 32720-3173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Wadsworth, Lyle E can be contacted via phone (386) 740-0224.

Contact Information

Primary practice address
890 N Boundary Ave Ste 102 Deland FL 32720-3173
Phone: (386) 740-0224
Fax: (386) 740-9711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME30902 Florida

Profile Details

NPI number 1356347561
LBN Legal business name Wadsworth, Lyle E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Mar 27th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356347561 NPPES
Florida Other 000050266105 UNITEDHEALTHCARE
Florida Other 2198298007 UNITEDHEALTHCARE
Florida Other 64391 UNITEDHEALTHCARE
Florida Other 5490138 UNITEDHEALTHCARE

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