Wright, Glen A
Wright, Glen A is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se 5Th Floor Bahavioral Medicine, Charleston WV 25304-1227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wright, Glen A can be contacted via phone (304) 388-1000.Contact Information
Primary practice address
3200 Maccorkle Ave Se 5Th Floor Bahavioral Medicine
Charleston WV 25304-1227
Phone: (304) 388-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 16762 | West Virginia |
Profile Details
| NPI number | 1629175930 |
|---|---|
| LBN Legal business name | Wright, Glen A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Oct 3rd, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629175930 | NPPES |
| West Virginia | MEDICAID | 0115676000 |
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