| Rickey Wright Md Llc | |
|
1823 W State St Fremont OH 43420-1635 | |
| (419) 334-7737 | |
| (419) 334-2528 |
| Full Name | Rickey Wright Md Llc |
|---|---|
| Speciality | General Practice |
| Location | 1823 W State St, Fremont, Ohio |
| Authorized Official Name and Position | Rickey Wright (OWNER) |
| Authorized Official Contact | 4193347737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rickey Wright Md Llc 1907 W State St Fremont OH 43420-1637 Ph: (419) 334-7737 | Rickey Wright Md Llc 1823 W State St Fremont OH 43420-1635 Ph: (419) 334-7737 |
| NPI Number | 1215137567 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215137567 | NPI | - | NPPES |
| 000000484130 | Other | ANTHEM BCBS | |
| 420846233-007 | Other | MEDICAL MUTUAL OF OHIO | |
| 2051014 | Medicaid | OH | |
| 420846233-00 | Other | OH | WORKERS COMPENSATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 35058763 (Ohio) | Primary |
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