MEDICARE: DR. PAUL HY LE DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2981	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1950284	OTHER	NC	FIRST HEALTH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	085EK	OTHER	NC	BCBS
4	895364	OTHER	NC	MAMSI

General Provider Information

NPI Number	:	1265520720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL HY LE DC

Provider Business Mailing Address
First Line	:	1707 WAYNE MEMORIAL DR STE B
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-2239
Country	:	US
Telephone Number	:	919-735-1004
Fax Number	:	919-735-8004

Provider Business Practice Location Address
First Line	:	1707 WAYNE MEMORIAL DR STE B
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-2239
Country	:	US
Telephone Number	:	919-735-1004
Fax Number	:	919-735-8004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. PAUL HY LE DC” Practice Location

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