Marcus, Trent Wright

Marcus, Trent Wright is an individual health care provider with primary practice located at 5722 Integrity Dr Building S771, Millington TN 38054-5028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Marcus, Trent Wright can be contacted via phone (901) 874-6119.

Contact Information

Primary practice address
5722 Integrity Dr Building S771 Millington TN 38054-5028
Phone: (901) 874-6119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11359 Nevada
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R-4476 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R4476 Arkansas

Profile Details

NPI number 1831147461
LBN Legal business name Marcus, Trent Wright
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Apr 11th, 2012 - 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 1831147461 NPPES
Arkansas Other R-4476 ARKANSAS LICENSE
Arkansas Other CC7692 ARKANSAS LICENSE
Arkansas MEDICAID 100506021 ARKANSAS LICENSE
Arkansas Other 11359 ARKANSAS LICENSE

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