Wight, David Allen
Wight, David Allen is an sole proprietor health care provider with primary practice located at 7019 Rote Rd Ste 105 , Rockford IL 61107-2611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wight, David Allen can be contacted via phone (815) 381-0900.Contact Information
Primary practice address
7019 Rote Rd Ste 105
Rockford IL 61107-2611
Phone: (815) 381-0900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036-100362 | Illinois |
Profile Details
| NPI number | 1740471317 |
|---|---|
| LBN Legal business name | Wight, David Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2007 |
| Last updated | Jul 17th, 2019 - about 5 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 | 1740471317 | NPPES |
| Illinois | Other | G41805 | UPIN |
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