Light, David John

Light, David John is an individual health care provider with primary practice located at 17 Division St , Waite Park MN 56387-1349. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Light, David John can be contacted via phone (320) 203-1035.

Contact Information

Primary practice address
17 Division St Waite Park MN 56387-1349
Phone: (320) 203-1035
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 112825 Minnesota

Profile Details

NPI number 1962771642
LBN Legal business name Light, David John
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2011
Last updated Dec 24th, 2011 - about 14 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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