Wright, Brent Douglas

Wright, Brent Douglas is an individual health care provider with primary practice located at 205 South St , Fort Bragg CA 95437-5540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Wright, Brent Douglas can be contacted via phone (707) 964-1251.

Contact Information

Primary practice address
205 South St Fort Bragg CA 95437-5540
Phone: (707) 964-1251
Fax: (707) 961-2722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X A67482 California

Profile Details

NPI number 1275657231
LBN Legal business name Wright, Brent Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Aug 29th, 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 1275657231 NPPES
California MEDICAID FHC03967F
California Other EH816A

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