Light, Andrew Ira
Light, Andrew Ira is an individual health care provider with primary practice located at 1089 X Ray Dr , Gastonia NC 28054-7489. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Light, Andrew Ira can be contacted via phone (704) 864-8377.Contact Information
Primary practice address
1089 X Ray Dr
Gastonia NC 28054-7489
Phone: (704) 864-8377
Fax: (704) 864-4442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 00-32756 | North Carolina |
Profile Details
| NPI number | 1629035530 |
|---|---|
| LBN Legal business name | Light, Andrew Ira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | May 21st, 2009 - about 15 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 | 1629035530 | NPPES |
| North Carolina | Other | 0642796-002 | CIGNA |
| North Carolina | Other | 17-41296 | CIGNA |
| North Carolina | Other | 51932 | CIGNA |
| North Carolina | Other | 020021344 | CIGNA |
| North Carolina | Other | 11947 | CIGNA |
| North Carolina | Other | 2029703 | CIGNA |
| North Carolina | Other | 35390 | CIGNA |
| North Carolina | Other | 256269 | CIGNA |
| North Carolina | Other | 4457934 | CIGNA |
| North Carolina | MEDICAID | 8951932 | CIGNA |
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