Light, Arthur Rudolph
Light, Arthur Rudolph is an individual health care provider with primary practice located at 405 Nc Highway 65 , Reidsville NC 27320-8882. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Light, Arthur Rudolph can be contacted via phone (336) 342-8316.Contact Information
Primary practice address
405 Nc Highway 65
Reidsville NC 27320-8882
Phone: (336) 342-8316
Fax: (336) 342-8352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 22364 | North Carolina |
Profile Details
| NPI number | 1992033484 |
|---|---|
| LBN Legal business name | Light, Arthur Rudolph |
| Credentials | MA, CSAC, CCS, LCAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2009 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1992033484 | NPPES |
| North Carolina | MEDICAID | 1992033484 | |
| North Carolina | Other | 19NXZ |
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