Individual
DR. DAVID JAMES LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
111 E MAIN ST, UNIONTOWN, PA 15401-3607
(724) 437-9020
(724) 437-0295
Mailing address
111 E MAIN ST, UNIONTOWN, PA 15401-3607
(724) 437-9020
(724) 437-0295
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4928L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043386
WV WC VENDOR NUMBER
WV
01
—
1539534
GATEWAY PROVIDER NUMBER
PA
05
—
1619126
—
PA
01
—
351224
BCBS GROUP NUMBER
PA
Enumeration date
05/21/2007
Last updated
07/08/2007
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