Wright, Mark S

Wright, Mark S is an individual health care provider with primary practice located at 15 Enterprise Dr Ste 100, Augusta ME 04330-7894. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Wright, Mark S can be contacted via phone (207) 621-8700.

Contact Information

Primary practice address
15 Enterprise Dr Ste 100 Augusta ME 04330-7894
Phone: (207) 621-8700
Fax: (207) 621-8701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 004272-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-795 Maine

Profile Details

NPI number 1356308373
LBN Legal business name Wright, Mark S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Apr 8th, 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 1356308373 NPPES
Maine MEDICAID 434193399

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