Wright, Tiffany Nicole
Wright, Tiffany Nicole is an individual health care provider with primary practice located at 411 E Chestnut St , Louisville KY 40202-1713. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Wright, Tiffany Nicole can be contacted via phone (502) 588-0390.Contact Information
Primary practice address
411 E Chestnut St
Louisville KY 40202-1713
Phone: (502) 588-0390
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 47836 | Kentucky |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 47836 | Kentucky |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 47836 | Kentucky |
Profile Details
| NPI number | 1992968689 |
|---|---|
| LBN Legal business name | Wright, Tiffany Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2008 |
| Last updated | Oct 11th, 2020 - about 6 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 | 1992968689 | NPPES |
| Kentucky | MEDICAID | 7100354190 | |
| Kentucky | MEDICAID | 300003088 |
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