Light, Gloria Von Rossum
Light, Gloria Von Rossum is an individual health care provider with primary practice located at 4500 Stuart St Moncrief Army Hospital, Attn: Mcxl-Pq (Credentials), Columbia SC 29207-5700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Light, Gloria Von Rossum can be contacted via phone (803) 751-2689.Contact Information
Primary practice address
4500 Stuart St Moncrief Army Hospital, Attn: Mcxl-Pq (Credentials)
Columbia SC 29207-5700
Phone: (803) 751-2689
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 243250 | Texas |
Profile Details
| NPI number | 1821194036 |
|---|---|
| LBN Legal business name | Light, Gloria Von Rossum |
| Credentials | RN, CPNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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