Dr. Benjamin W Light
Otolaryngology/Facial Plastic Surgery
1218 13th Ave Se
Decatur
, Alabama 35601-4307
Dr. Benjamin W Light
Otolaryngology/Facial Plastic Surgery
1218 13th Ave Se
Decatur
, Alabama 35601-4307
(256) 355-6241
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Benjamin W Light
- 1218 13th Ave Se
- Decatur, AL
- Zip : 35601-4307
- Fax : (256) 355-6241
- Phone : (256) 355-6200
Second Address
- Dr. Benjamin W Light
- 1218 13th Ave Se
- Decatur, AL
- Zip : 35601-4307
- Fax : (256) 355-6241
- Phone : (256) 355-6200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 00024976 | AL |
National Provider Identifier
| NPI | 1760463632 |
|---|---|
| Provider Name | Dr. Benjamin W Light |
| First Address | Decatur, AL 35601-4307 |
| Second Address | Decatur, AL 35601-4307 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2005 |
| Last Update Date | 28/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 051512384 | (05) | AL |
| 051512384 | PROVIDER NUMBER (01) | AL |
| 515-12384 | BCBS (01) | AL |
| CM6320 | RAILROAD MEDICARE (01) | AL |
| H21368 | (02) | AL |
| P00017388 | RAILROAD MEDICARE (01) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.