Light, Vicki W
Light, Vicki W is an sole proprietor health care provider with primary practice located at 706 Summit Crossing Pl , Gastonia NC 28054-2175. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Light, Vicki W can be contacted via phone (704) 854-3600.Contact Information
Primary practice address
706 Summit Crossing Pl
Gastonia NC 28054-2175
Phone: (704) 854-3600
Fax: (704) 854-3619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 39516 | North Carolina |
Profile Details
| NPI number | 1366407900 |
|---|---|
| LBN Legal business name | Light, Vicki W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | May 4th, 2017 - about 9 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 | 1366407900 | NPPES |
| North Carolina | MEDICAID | 8951925 |
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