Light, Richard
Light, Richard is an sole proprietor health care provider with primary practice located at 18708 Nw 242Nd St , High Springs FL 32643-9141. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Light, Richard can be contacted via phone (386) 984-1222.Contact Information
Primary practice address
18708 Nw 242Nd St
High Springs FL 32643-9141
Phone: (386) 984-1222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA40231 | Florida |
Profile Details
| NPI number | 1518689330 |
|---|---|
| LBN Legal business name | Light, Richard |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2022 |
| Last updated | Sep 19th, 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 | 1518689330 | NPPES |
| Florida | Other | MA40231 | FL BOARD OF MASSAGE |
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