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RICKEY WRIGHT MD LLC NPI 1215137567


NPI Information

NPI: 1215137567
Provider Name: RICKEY WRIGHT MD LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1823 W STATE ST
FREMONT, OH
ZIP 43420
Phone: (419) 334-7737
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RICKEY WRIGHT MD LLC is a general practice in Fremont, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RICKEY WRIGHT MD LLC NPI is 1215137567. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1823 W STATE ST
FREMONT, OH
ZIP 43420-635
Phone: (419) 334-7737
Fax: (419) 334-2528

The provider's authorized official is Rickey Wright .
The authorized official title is Owner and has the following contact phone number (419) 334-7737.

The enumeration date for this NPI number is 7/24/2007 and was last updated on 7/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice35058763OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1420846233-007OTHERMEDICAL MUTUAL OF OHIO
2420846233-00OTHEROHIOWORKERS COMPENSATION
3G66674MEDICARE UPIN
42051014MEDICAIDOHIO
50844755MEDICARE PIN
6000000484130OTHERANTHEM BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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