Lightfoot, Elijah
Lightfoot, Elijah is an sole proprietor health care provider with primary practice located at 1021 Laney-Walker Blvd. , Augusta GA 30901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lightfoot, Elijah can be contacted via phone (706) 724-1206.Contact Information
Primary practice address
1021 Laney-Walker Blvd.
Augusta GA 30901
Phone: (706) 724-1206
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 10112 | South Carolina |
Profile Details
| NPI number | 1679551451 |
|---|---|
| LBN Legal business name | Lightfoot, Elijah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1679551451 | NPPES |
| South Carolina | MEDICAID | 101124 |
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