1275093668 NPI number — DR. EMILY ROSE WRIGHT MD

Table of content: DR. EMILY ROSE WRIGHT MD (NPI 1275093668)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275093668 NPI number — DR. EMILY ROSE WRIGHT MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WRIGHT
Provider First Name:
EMILY
Provider Middle Name:
ROSE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

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:
1275093668
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/21/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
231 ALBERT SABIN WAY MAIL LOCATION 0558
Provider Second Line Business Mailing Address:
MEDICAL SCIENCES BUILDING, ROOM 2472
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45267
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-584-1387
Provider Business Mailing Address Fax Number:
513-584-1745

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
234 GOODMAN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-584-1387
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/21/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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