1760537948 NPI number — WRIGHT & FILIPPIS, LLC

Table of content: (NPI 1760537948)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760537948 NPI number — WRIGHT & FILIPPIS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WRIGHT & FILIPPIS, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760537948
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/30/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2845 CROOKS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCHESTER HILLS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48309-3661
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-829-8200
Provider Business Mailing Address Fax Number:
248-829-8393

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1629 E MICHIGAN AVE STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANSING
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48912-2817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-484-2624
Provider Business Practice Location Address Fax Number:
517-484-8362
Provider Enumeration Date:
01/25/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FILIPPIS
Authorized Official First Name:
ANTHONY
Authorized Official Middle Name:
J
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
248-829-8282

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 530C305091 . This is a "BCBSM P&O" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 4404396 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".