Wright, David L

Wright, David L is an individual health care provider with primary practice located at 612 Roxbury Road , Rockford IL 61107-5089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wright, David L can be contacted via phone (815) 227-8300.

Contact Information

Primary practice address
612 Roxbury Road Rockford IL 61107-5089
Phone: (815) 227-8300
Fax: (815) 227-8301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036056932 Illinois

Profile Details

NPI number 1033131776
LBN Legal business name Wright, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Apr 22nd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033131776 NPPES
Illinois MEDICAID 036056932
Illinois MEDICAID 30294900
Illinois Other P00837771

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