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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376513176 NPPES
District of Columbia MEDICAID 007305818
District of Columbia MEDICAID 025597100
District of Columbia MEDICAID 327801200

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