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Contact Information

MYRTLE BOYKIN LIGHTON
809 W VINE ST
LIMA, OH45804-1054
 Phone: 419-222-4474
 Fax: 419-222-7044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Prevention Professional

405300000X
Indicates primary specialty

NPI Profile & details for MYRTLE BOYKIN LIGHTON · (Female)

NPI # 1265815591
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2015
Last updated 08/22/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 0782
  • OH License # 1163
  • OH Medicaid 341741132
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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