Light, Benjamin W

Light, Benjamin W is an individual health care provider with primary practice located at 1218 13Th Ave Se , Decatur AL 35601-4307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Light, Benjamin W can be contacted via phone (256) 355-6200.

Contact Information

Primary practice address
1218 13Th Ave Se Decatur AL 35601-4307
Phone: (256) 355-6200
Fax: (256) 355-6241
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 00024976 Alabama

Profile Details

NPI number 1760463632
LBN Legal business name Light, Benjamin W
Credentials M.D., F.A.C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jan 28th, 2013 - about 13 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 1760463632 NPPES
Alabama MEDICAID 051512384
Alabama Other 515-12384
Alabama Other CM6320
Alabama Other P00017388
Alabama Other 051512384

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