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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARTIN LIGHT

Active Sole Proprietor

MR. MARTIN LIGHT is a Contractor healthcare provider located in CHESTERFIELD, Missouri. NPI 1568623544 is currently active in the NPPES registry. Verify at CMS.

Contractor · CHESTERFIELD, MO

Registration Details

NPI Number
1568623544
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2008 (18.150094771239 yrs)
Last Updated
Jul 21, 2022
Sole Proprietor
Yes

Practice Information

Address
330 BRANCHPORT DR
CHESTERFIELD, MO, 630172902
Browse MO providers · Browse ZIP 63017
Phone
3144693484
Fax
3144693484
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in CHESTERFIELD, MO

Name Credential NPI
MR. JERRY HUBER 1619157799
MIKAELA HERSCHELMAN MT, OTR/L 1467773440
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.