Light, William O

Light, William O is an individual health care provider with primary practice located at 1005 Bellefontaine Ave Ste 225, Lima OH 45804-2896. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Light, William O can be contacted via phone (419) 228-8191.

Contact Information

Primary practice address
1005 Bellefontaine Ave Ste 225 Lima OH 45804-2896
Fax: (419) 229-3490
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35034390L Ohio

Profile Details

NPI number 1730101742
LBN Legal business name Light, William O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730101742 NPPES
Ohio MEDICAID 0194463

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