1427221548 NPI number — WRIGHT & FILIPPIS, INC.

Table of content: KYLE WARNER PT, DPT (NPI 1619455177)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427221548 NPI number — WRIGHT & FILIPPIS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WRIGHT & FILIPPIS, INC.
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:
1427221548
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2845 CROOKS ROAD
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:
248-829-8241
Provider Business Mailing Address Fax Number:
248-829-8393

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2545 ROOSEVELT ROAD
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
MARINETTE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54143-3884
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-330-5437
Provider Business Practice Location Address Fax Number:
715-330-5471
Provider Enumeration Date:
04/09/2008

Additional Information

Authorized Official

Authorized Official Last Name:
FILIPPIS
Authorized Official First Name:
ANTHONY
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
248-829-8200

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; 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: 41688100 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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