Wight, John A

Wight, John A is an individual health care provider with primary practice located at 3 Curtis Rd , Vernon NY 13476-3607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wight, John A can be contacted via phone (315) 829-2220.

Contact Information

Primary practice address
3 Curtis Rd Vernon NY 13476-3607
Fax: (315) 829-3955
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 157905 New York

Profile Details

NPI number 1386605848
LBN Legal business name Wight, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Sep 16th, 2021 - about 3 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 1386605848 NPPES
New York MEDICAID 01001069

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