Light, Mark W
Light, Mark W is an sole proprietor health care provider with primary practice located at 1279 E 1St Ave Ste C, Chico CA 95926-1542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Light, Mark W can be contacted via phone (530) 899-7300.Contact Information
Primary practice address
1279 E 1St Ave Ste C
Chico CA 95926-1542
Phone: (530) 899-7300
Fax: (530) 899-7211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G32061 | California |
Profile Details
| NPI number | 1427053388 |
|---|---|
| LBN Legal business name | Light, Mark W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | May 21st, 2012 - about 12 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 | 1427053388 | NPPES |
| California | MEDICAID | 00G320610 | |
| California | Other | 930124387 |
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