Wightman, Gregory John

Wightman, Gregory John is an individual health care provider with primary practice located at 2611 Wayne Ave Building #66, Dayton OH 45420-1833. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Wightman, Gregory John can be contacted via phone (937) 258-0440.

Contact Information

Primary practice address
2611 Wayne Ave Building #66 Dayton OH 45420-1833
Fax: (937) 258-6235
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X E0000394 SUPV Ohio

Profile Details

NPI number 1073672275
LBN Legal business name Wightman, Gregory John
Credentials L.P.C.C. SUPV.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 17 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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