Wright, Timothy Robert

Wright, Timothy Robert is an sole proprietor health care provider with primary practice located at 18701 N 67Th Ave , Glendale AZ 85308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wright, Timothy Robert can be contacted via phone (623) 561-7222.

Contact Information

Primary practice address
18701 N 67Th Ave Glendale AZ 85308
Phone: (623) 561-7222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17772 Arizona

Profile Details

NPI number 1366408650
LBN Legal business name Wright, Timothy Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Dec 13th, 2007 - about 17 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 1366408650 NPPES
Arizona Other 3981220 EVERCARE GRP
Arizona Other AZ0728670 EVERCARE GRP
Arizona MEDICAID 097990 EVERCARE GRP
Arizona Other AW1436 EVERCARE GRP

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