Wright, Jeremiah Holman

Wright, Jeremiah Holman is an sole proprietor health care provider with primary practice located at 620 Skyline Drive , Jackson TN 38301-3901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wright, Jeremiah Holman can be contacted via phone (731) 541-6174.

Contact Information

Primary practice address
620 Skyline Drive Jackson TN 38301-3901
Phone: (731) 541-6174
Fax: (731) 541-8008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 48222 Tennessee

Profile Details

NPI number 1437288016
LBN Legal business name Wright, Jeremiah Holman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Apr 28th, 2017 - about 8 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 1437288016 NPPES
Tennessee MEDICAID 1529425
Tennessee Other P01092898

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