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Contact Information

NIGHT LIGHT PEDIATRICS LLC
1240 E 100 S STE 14
SAINT GEORGE, UT84790-3005
 Phone: 435-628-8034
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NIGHT LIGHT PEDIATRICS LLC · (Female)

NPI Number 1295855914
Status Active
Credentials
Entity Individual
Enumeration date 03/29/2007
Last updated 07/25/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT License # 88-178110-1205
  • UT Medicaid 09165
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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