Light, Jimmy
Light, Jimmy is an individual health care provider with primary practice located at 110 Irving St Nw Suite 3D - 31, Washington DC 20010-2976. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Light, Jimmy can be contacted via phone (202) 877-6029.Contact Information
Primary practice address
110 Irving St Nw Suite 3D - 31
Washington DC 20010-2976
Phone: (202) 877-6029
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | MD25560 | District of Columbia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD25560 | District of Columbia |
Profile Details
| NPI number | 1376513176 |
|---|---|
| LBN Legal business name | Light, Jimmy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jun 27th, 2008 - about 17 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 | 1376513176 | NPPES |
| District of Columbia | MEDICAID | 007305818 | |
| District of Columbia | MEDICAID | 025597100 | |
| District of Columbia | MEDICAID | 327801200 |
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