Wright, Justin C
Wright, Justin C is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3581. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wright, Justin C can be contacted via phone (920) 433-3706.Contact Information
Primary practice address
744 S Webster Ave
Green Bay WI 54301-3581
Phone: (920) 433-3706
Fax: (920) 433-3582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 4685-23 | Wisconsin |
Profile Details
| NPI number | 1285891846 |
|---|---|
| LBN Legal business name | Wright, Justin C |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2008 |
| Last updated | Feb 16th, 2023 - about 2 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 | 1285891846 | NPPES |
| Other | 1163406 | NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS | |
| Other | 4685-23 | NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS |
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