Light, Wilma C

Light, Wilma C is an sole proprietor health care provider with primary practice located at 1100 Ligonier St Ste 200, Latrobe PA 15650-1978. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Light, Wilma C can be contacted via phone (724) 539-4551.

Contact Information

Primary practice address
1100 Ligonier St Ste 200 Latrobe PA 15650-1978
Fax: (724) 539-0835
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X MD017517E Pennsylvania

Profile Details

NPI number 1578567921
LBN Legal business name Light, Wilma C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Jun 28th, 2010 - about 14 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 1578567921 NPPES
Pennsylvania Other 101296 UPMC
Pennsylvania Other 140772 UPMC
Pennsylvania Other 101296 UPMC
Pennsylvania Other 5348794 UPMC
Pennsylvania MEDICAID 0006055920001 UPMC
Pennsylvania Other 0480153 UPMC
Pennsylvania Other 66243 UPMC
Pennsylvania Other 9973519002 UPMC

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