Wight, Irving David

Wight, Irving David is an individual health care provider with primary practice located at 1401 Matthews Township Pkwy Suite 101, Matthews NC 28105-5402. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wight, Irving David can be contacted via phone (704) 295-3550.

Contact Information

Primary practice address
1401 Matthews Township Pkwy Suite 101 Matthews NC 28105-5402
Phone: (704) 295-3550
Fax: (704) 295-3556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 100635 North Carolina

Profile Details

NPI number 1760471221
LBN Legal business name Wight, Irving David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Dec 9th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760471221 NPPES
North Carolina Other 98462 MEDCOST
North Carolina Other 970023482 MEDCOST

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