Wright, Douglas Ellis
Wright, Douglas Ellis is an individual health care provider with primary practice located at 55 Fruit St Grb 740 Bigelow Teaching Service- Inpatient, Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wright, Douglas Ellis can be contacted via phone (617) 726-2862.Contact Information
Primary practice address
55 Fruit St Grb 740 Bigelow Teaching Service- Inpatient
Boston MA 02114-2621
Phone: (617) 726-2862
Fax: (617) 724-7441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 225472 | Massachusetts |
Profile Details
| NPI number | 1508856311 |
|---|---|
| LBN Legal business name | Wright, Douglas Ellis |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Nov 18th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508856311 | NPPES |
| Massachusetts | Other | J29017 | BCBS MA |
| Massachusetts | MEDICAID | 2107490 | BCBS MA |
| Massachusetts | Other | 462226 | BCBS MA |
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