Wright, Johnny C
Wright, Johnny C is an individual health care provider with primary practice located at 340 Broad St Suite 100, Windsor CT 06095-3030. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wright, Johnny C can be contacted via phone (860) 580-7170.Contact Information
Primary practice address
340 Broad St Suite 100
Windsor CT 06095-3030
Phone: (860) 580-7170
Fax: (860) 580-7177
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 049981 | Connecticut |
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 80178 | Mississippi |
Profile Details
NPI number | 1952455370 |
---|---|
LBN Legal business name | Wright, Johnny C |
Credentials | M.D., D.P.M. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2007 |
Last updated | Mar 2nd, 2016 - about 9 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 | 1952455370 | NPPES |
Connecticut | MEDICAID | 008045010 | |
Connecticut | Other | 1679974521 | |
Connecticut | MEDICAID | 008056720 |
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