Light, Timothy D

Light, Timothy D is an individual health care provider with primary practice located at 510 E Bloomington St , Iowa City IA 52245-2803. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Light, Timothy D can be contacted via phone (319) 338-9247.

Contact Information

Primary practice address
510 E Bloomington St Iowa City IA 52245-2803
Phone: (319) 338-9247
Fax: (319) 338-2785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD33292 District of Columbia
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 36893 Iowa
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 36893 Iowa

Profile Details

NPI number 1295726560
LBN Legal business name Light, Timothy D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Apr 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295726560 NPPES
Iowa Other 27811 WELLMARK BCBS
Iowa MEDICAID 0743179 WELLMARK BCBS

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