Wight, Irving David
Wight, Irving David is an individual health care provider with primary practice located at 1401 Matthews Township Pkwy Suite 101, Matthews NC 28105-5402. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wight, Irving David can be contacted via phone (704) 295-3550.Contact Information
Primary practice address
1401 Matthews Township Pkwy Suite 101
Matthews NC 28105-5402
Phone: (704) 295-3550
Fax: (704) 295-3556
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 100635 | North Carolina |
Profile Details
NPI number | 1760471221 |
---|---|
LBN Legal business name | Wight, Irving David |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 18th, 2005 |
Last updated | Dec 9th, 2009 - about 16 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 | 1760471221 | NPPES |
North Carolina | Other | 98462 | MEDCOST |
North Carolina | Other | 970023482 | MEDCOST |
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