Buddy Wayne Lile in New Brighton - Psychiatry
Buddy Wayne Lile - NPI 1104858612
Buddy Wayne Lile is a Psychiatry in New Brighton, Minnesota. Buddy Wayne Lile practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Buddy Wayne Lile is 1104858612. The last update date is 2023-03-07.
Buddy Wayne Lile's current location address is 550 Main Street, New Brighton, Minnesota. You can contact this provider via phone number 6123267558 and fax number 6124542087. The mailing address for Buddy Wayne Lile is 550 Main Street, New Brighton, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Buddy Wayne Lile |
|---|---|
| Address | 550 Main Street, New Brighton, Minnesota |
| Phone Number | 6123267558 |
| Fax Number | 6124542087 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104858612 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 550 Main Street |
|---|---|
| City | New Brighton |
| State | Minnesota (MN) |
| Post Code | 55112 |
| Phone Number | 6123267558 |
| Fax Number | 6124542087 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 042-0010705 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 042-0010705 | VT | VERMONT STATE LICENSE | |
| 1010386 | MN | -- | |
| 1010386 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Buddy Wayne Lile by the Centers for Medicare & Medicaid Services?
The Buddy Wayne Lile has been assigned the NPI (National Provider Identifier) 1104858612 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Buddy Wayne Lile is located?
The Buddy Wayne Lile is situated at the following address: 550 Main Street, New Brighton, MN, 55112.
What is the area of specialization for Buddy Wayne Lile, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Buddy Wayne Lile is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.
When did the Buddy Wayne Lile receive its 1104858612?
The Buddy Wayne Lile was issued its 1104858612 on 2006-07-07, which is the date when the organization was assigned this unique identifier.
When was the information related to Buddy Wayne Lile most recently updated or refreshed?
The details pertaining to the Buddy Wayne Lile, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.