National Provider Identifier Database

LIGHTHOUSE MEDICAL LLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

LIGHTHOUSE MEDICAL, LLC
301 E. PLEASANT VALLEY BLVD.
ALTOONA, PA16602
Phone: 814-944-5835
Fax: 814-944-9184
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Pain Medicine 2081P2900X

* Indicates primary specialty

NPI Profile & details for LIGHTHOUSE MEDICAL, LLC

NPI Number 1932382595
Legal business name
LBN
LIGHTHOUSE MEDICAL, LLC
Authorized official JOHN JOHNSON - (CEO/OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/06/2007
Last updated 02/28/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: MD044867E
  • PA License #: MD438515
  • PA Medicaid: 1020712560001

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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