Wright, Archie W

Wright, Archie W is an individual health care provider with primary practice located at 322 Hospital Blvd , Jackson TN 38305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Wright, Archie W can be contacted via phone (731) 668-1668.

Contact Information

Primary practice address
322 Hospital Blvd Jackson TN 38305
Phone: (731) 668-1668
Fax: (731) 668-5801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 17568 Mississippi
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X DO0000001848 Tennessee
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01848 Tennessee

Profile Details

NPI number 1639270440
LBN Legal business name Wright, Archie W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated May 11th, 2010 - about 16 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 1639270440 NPPES
Tennessee MEDICAID 3000109

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