1457771099 NPI number — W-HCG WRIGHT - HEALTH CARE GROUP CORP.

Table of content: RYAN MICHAEL GROW DO (NPI 1679070551)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457771099 NPI number — W-HCG WRIGHT - HEALTH CARE GROUP CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
W-HCG WRIGHT - HEALTH CARE GROUP CORP.
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:
1457771099
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6149 WHITETAIL RUN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OAKWOOD VILLAGE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44146-3187
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-636-3137
Provider Business Mailing Address Fax Number:
440-237-1787

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6149 WHITETAIL RUN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAKWOOD VILLAGE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44146-3187
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-636-3137
Provider Business Practice Location Address Fax Number:
440-237-1787
Provider Enumeration Date:
04/22/2014

Additional Information

Authorized Official

Authorized Official Last Name:
WRIGHT - MERRITT
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
440-521-8143

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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